TEXAS HEALTH CARE PLLC (NPI# 1639441751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639441751 |
| Entity Type | Organization |
| Organization Name | TEXAS HEALTH CARE PLLC |
| Practice Address |
1250 8th Avenue, Suite 205 Fort Worth TX 76104-4158 |
| Mailing Address |
Po Box 961205 Fort Worth TX 76161-1205 |
| Practice Telephone | 8173358151 |
| Practice Fax Number | 8179262531 |
| Mailing Telephone | 8177408400 |
| Mailing Fax Number | 8173783699 |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2012-06-12 |
| Authorized Official Name | LARRY D. TATUM (C.E.O.) |
| Authorized Official Telephone | 8177408400 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 155109501 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346306701 | Texas Health Care Pllc | Internal Medicine | 508 S Adams St Ste 100, Fort Worth, TX 76104-2151 | 2006-12-29 |
| Street Address |
1250 8TH AVENUE, SUITE 205 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-4158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720437155 | Central Park Ear Nose & Throat LLP Fort Worth | Otolaryngology | 800 8th Ave Ste 618, Fort Worth, TX 76104-2605 | 2016-06-07 |
| 1346665338 | George Kostohryz, Jr., M.d., P.a. | Otolaryngology | 4625 Boat Club Rd Ste 257, Fort Worth, TX 76135-7023 | 2014-02-27 |
| 1194154724 | Olicolas Monitoring P.a. | Otolaryngology | 500 Throckmorton 3012, Fort Worth, TX 76102 | 2013-11-04 |
| 1619266905 | Texas Health Care, P.l.l.c. | Otolaryngology | 5801 Oakbend Trail, Suite 260, Fort Worth, TX 76132-3923 | 2011-04-07 |
| 1831416932 | Masoud Saman | Otolaryngology | 923 Pennsylvania Ave Ste 100, Fort Worth, TX 76104-2254 | 2010-04-28 |
| 1316276744 | Texas Health Care, P.l.l.c. | Otolaryngology | 800 8th Ave,. Suite 626, Fort Worth, TX 76104-2605 | 2009-12-14 |
| 1730381310 | Marc Richard Dean | Otolaryngology | 901 Hemphill St., Fort Worth, TX 76104-3111 | 2007-06-05 |
| 1780800938 | Jeremy Paul Watkins | Otolaryngology | 5751 Edwards Ranch Road, Suite 200, Fort Worth, TX 76109 | 2007-04-17 |
| 1891861779 | Texas Health Care, P.l.l.c. | Otolaryngology | 901 Hemphill, Fort Worth, TX 76104-3111 | 2006-11-24 |
| 1538186150 | Andrew A Vories | Otolaryngology | 923 Pennsylvania Ave, Suite 200, Fort Worth, TX 76104-2254 | 2006-07-17 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.