TEXAS HEALTH CARE P.L.L.C. NPI 1003143165

NPI Information

NPI: 1003143165
Provider Name: TEXAS HEALTH CARE, P.L.L.C.
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
508 SOUTH ADAMS, SUITE 102
FORT WORTH, TX
ZIP 76104
Phone: (817) 339-8855
Get Directions

TEXAS HEALTH CARE, P.L.L.C. is a nephrology internal medicine in Fort Worth, TX. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. TEXAS HEALTH CARE, P.L.L.C. NPI is 1003143165. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

508 SOUTH ADAMS, SUITE 102
FORT WORTH, TX
ZIP 76104-151
Phone: (817) 339-8855
Fax: (817) 339-8889

The provider's authorized official is Larry D. Tatum .
The authorized official title is C.e.o. and has the following contact phone number (817) 740-8400.

The enumeration date for this NPI number is 11/11/2009 and was last updated on 11/4/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RN0300X	Internal Medicine	Nephrology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00406U	MEDICARE PIN	TEXAS
2	155109501	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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