TEXAS HEALTH CARE, P.L.L.C.
NPI 1043554306
Otolaryngology in Fort Worth, TX
- Organization
- Otolaryngology
- CLIA Number: 45D2189773
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-04-2026
About TEXAS HEALTH CARE, P.L.L.C.
This page provides the complete NPI Profile along with additional information for Texas Health Care, P.l.l.c., a provider established in Fort Worth, Texas operating as a Otolaryngology. The healthcare provider is registered in the NPI registry with number 1043554306 assigned on November 2012. The practitioner's primary taxonomy code is 207Y00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. Texas Health Care, P.l.l.c. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Larry D. Tatum Md (Ceo)
- NPI
- 1043554306 Verify this NPI
- Provider Name
- TEXAS HEALTH CARE, P.L.L.C.
- Entity Type
- Organization
- Location Address
- 923 PENNSYLVANIA AVE STE 200 FORT WORTH, TX 76104
- Location Phone
- (817) 920-0484
- Location Fax
- (817) 920-0068
- Mailing Address
- P.O. BOX 961205 FORT WORTH, TX 76161
- Mailing Phone
- (817) 740-8400
- Mailing Fax
- (817) 378-3699
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-26-2012
- Last Update Date
- 11-26-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Otolaryngology
- Taxonomy Code
- 207Y00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 155109501 | MEDICAID (05) | TX | |
| 00406U | MEDICARE PIN (08) | TX |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D2189773
- Facility Type
- Physician Office
- Certificate Effective Date
- August 05, 2024
- Certificate Expiration Date
- August 04, 2026
- Laboratory Director
- YADRANKO DUCIC
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Texas Health Care, P.l.l.c. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043554306, enumerated as an "organization" on November 26, 2012.
The provider is located at 923 PENNSYLVANIA AVE STE 200 FORT WORTH, TX 76104 and the phone number is (817) 920-0484.
Otolaryngology with taxonomy code 207Y00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
