| Texas Health Care, P.l.l.c. | |
|
150 River North Boulevard Stephenville TX 76401-1860 | |
| (254) 968-6051 | |
| (254) 968-4950 |
| Full Name | Texas Health Care, P.l.l.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 150 River North Boulevard, Stephenville, Texas |
| Authorized Official Name and Position | Larry D Tatum (C.E.O.) |
| Authorized Official Contact | 8177408400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Health Care, P.l.l.c. P.o Box 961205 Forth Worth TX 76161-1205 Ph: (817) 740-8400 | Texas Health Care, P.l.l.c. 150 River North Boulevard Stephenville TX 76401-1860 Ph: (254) 968-6051 |
| NPI Number | 1982257986 |
|---|---|
| Provider Enumeration Date | 07/18/2019 |
| Last Update Date | 07/18/2019 |
| Medicare PECOS PAC ID | 7214840867 |
|---|---|
| Medicare Enrollment ID | O20191014001046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982257986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
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