| Texas Health Care, Pllc | |
|
110 Mary Lou Dr. Ste. 100 Willow Park TX 76087-8767 | |
| (817) 930-2030 | |
| (817) 930-2031 |
| Full Name | Texas Health Care, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 110 Mary Lou Dr. Ste. 100, Willow Park, Texas |
| Authorized Official Name and Position | Larry D Tatum (CEO) |
| 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, Pllc Po Box 961205 Fort Worth TX 76161-0205 Ph: (817) 740-8400 | Texas Health Care, Pllc 110 Mary Lou Dr. Ste. 100 Willow Park TX 76087-8767 Ph: (817) 930-2030 |
| NPI Number | 1972386019 |
|---|---|
| Provider Enumeration Date | 08/14/2023 |
| Last Update Date | 08/14/2023 |
| Medicare PECOS PAC ID | 7214840867 |
|---|---|
| Medicare Enrollment ID | O20240108005552 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972386019 | NPI | - | NPPES |
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