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NPI Code Detail

MEDICARE: TEXAS HEALTH CARE, PLLC

MEDICARE: TEXAS HEALTH CARE, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208VP0014XInterventional Pain Medicine Physician

General Provider Information

NPI Number : 1942939152
Entity Type Code : Organization
Provider Name (Legal Business Name) : TEXAS HEALTH CARE, PLLC
Provider Business Mailing Address
First Line : PO BOX 961205
Second Line :
City : FORT WORTH
State : TX
Zip : 76161-0205
Country : US
Telephone Number : 817-740-8400
Fax Number : 817-378-3699
Provider Business Practice Location Address
First Line : 7201 HAWKINS VIEW DR STE 151
Second Line :
City : FORT WORTH
State : TX
Zip : 76132-3934
Country : US
Telephone Number : 817-916-0108
Fax Number : 817-915-0151
Authorized Official
Title or Position : CEO
Name : LARRY D TATUM
Credential : MD
Telephone Number : 817-740-8400
Provider Enumeration Date : 06/06/2022
Last Update Date : 06/06/2022

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Directions to “TEXAS HEALTH CARE, PLLC ” Practice Location

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