Texas Health Care, P.L.L.C.
Internal Medicine in Stephenville, TX. Organization (NPI-2).
NPI number1982257986
StatusActive
Last updated in NPPESJul 18, 2019
Details
- NPI
- 1982257986
- Entity type
- Organization (NPI-2)
- Legal business name
- Texas Health Care, P.L.L.C.
- Organization subpart
- No
- Enumeration date
- Jul 18, 2019
- Last updated
- Jul 18, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 207Q00000X | Family Medicine | – | – | |
| 208000000X | Pediatrics | – | – |
Other names
- Prvia Medicial Group North Texas (Doing Business As)
Practice location
150 River North BoulevardStephenville, TX 76401-1860
Phone 254-968-6051 · Fax 254-968-4950
Mailing address
P.O Box 961205Forth 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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