TEXAS HEALTH CARE P.L.L.C. NPI 1063720654

NPI Information

  • NPI: 1063720654
  • Provider Name: TEXAS HEALTH CARE, P.L.L.C.
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Organization
  • CLIA Number: 45D0708335
  • Address: 4950 OVERTON RIDGE BLVD.
    FORT WORTH, TX
    ZIP 76132
  • Phone: (817) 423-2020

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NPI Details

TEXAS HEALTH CARE, P.L.L.C. is an ophthalmology in Fort Worth, TX. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. TEXAS HEALTH CARE, P.L.L.C. NPI is 1063720654. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4950 OVERTON RIDGE BLVD.
FORT WORTH, TX
ZIP 76132-909
Phone: (817) 423-2020
Fax: (817) 423-2040

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 CLIA number assigned to this NPI record is 45D0708335 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/17/2010 and was last updated on 10/5/2010.

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
1207W00000XOphthalmologyYes

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
1155109501MEDICAIDTEXAS
200406UMEDICARE PINTEXAS

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: 11/21/2025

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