Healthcare Provider Details

I. General information

NPI: 1588029813
Provider Name (Legal Business Name): TEXAS HEALTH CARE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/31/2015
Last Update Date: 12/31/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1651 W ROSEDALE ST SUITE 200
FORT WORTH TX
76104-7437
US

IV. Provider business mailing address

PO BOX 812140
BOCA RATON FL
33481-2140
US

V. Phone/Fax

Practice location:
  • Phone: 817-335-4316
  • Fax: 817-336-2504
Mailing address:
  • Phone: 561-463-8102
  • Fax: 561-331-2707

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberK7186
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License NumberK7186
License Number StateTX

VIII. Authorized Official

Name: DR. STEVEN MEYERS
Title or Position: OWNER
Credential: M.D.
Phone: 817-335-4316