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TEXAS HEALTH CARE P.L.L.C. NPI 1124184528


NPI Information

NPI: 1124184528
Provider Name: TEXAS HEALTH CARE, P.L.L.C.
Classification: Plastic Surgery - 208200000X
Entity Type: Organization

CLIA Number: 45D2235012

Address:
75 MAIN ST
SUITE 150
COLLEYVILLE, TX
ZIP 76034
Phone: (817) 503-2442
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TEXAS HEALTH CARE, P.L.L.C. is a plastic surgery in Colleyville, TX. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. TEXAS HEALTH CARE, P.L.L.C. NPI is 1124184528. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

75 MAIN ST
SUITE 150
COLLEYVILLE, TX
ZIP 76034-970
Phone: (817) 503-2442
Fax: (817) 968-2443

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 45D2235012 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/29/2006 and was last updated on 10/15/2011.


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
1208200000XPlastic SurgeryYes

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
100406UMEDICARE PINTEXAS
24785830076MEDICARE NSCTEXAS
3155109501MEDICAIDTEXAS

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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