Texas Health Care, P.L.L.C.
Ophthalmology in Grapevine, TX. Organization (NPI-2).
NPI number1164588596
StatusActive
Last updated in NPPESOct 15, 2011
Details
- NPI
- 1164588596
- Entity type
- Organization (NPI-2)
- Legal business name
- Texas Health Care, P.L.L.C.
- Organization subpart
- No
- Enumeration date
- Dec 29, 2006
- Last updated
- Oct 15, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | – | – | Yes |
Practice location
2201 Westgate PlazaGrapevine, TX 76051-8037
Phone 817-410-2030 · Fax 817-251-6261
Mailing address
P.O. Box 961205Fort Worth, TX 76161-1205
Phone 817-740-8400 · Fax 817-378-3699
Authorized official
Larry D. Tatum
C.E.O.
8177408400
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All 8 Ophthalmology Physician providers in Grapevine · All 1,669 providers in Grapevine
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