TEXAS HEALTH CARE, P.L.L.C.
NPI 1063720654
Ophthalmology in Fort Worth, TX

Active since September 17, 2010CLIA Certified · 3 labs
4950 OVERTON RIDGE BLVD., FORT WORTH, TX 76132(817) 423-2020(817) 423-2040 Get Directions Write a Review

NPPES record last updated: October 5, 2010. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Texas Health Care, P.l.l.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TEXAS HEALTH CARE, P.L.L.C. (NPI 1063720654) is a healthcare organization registered as an ophthalmology in Fort Worth, Texas and active in the NPI registry since September 2010. The organization holds 3 active CLIA laboratory certificates and lists Larry D. Tatum, C.e.o., as its authorized official.

NPPES Registry Identity

NPI1063720654
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameTEXAS HEALTH CARE, P.L.L.C.
Location Address4950 OVERTON RIDGE BLVD.Fort Worth, TX 76132-1909
Mailing AddressP.o. Box 961205Fort Worth, TX 76116-1205 · (817) 740-8400 · Fax (817) 423-2040
Fax(817) 423-2040
Organization SubpartNo
Authorized OfficialLarry D. TatumC.e.o. · (817) 740-8400
Enumeration DateSeptember 17, 2010
Last NPPES UpdateOctober 5, 2010
✔ NPI 1063720654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
4950 OVERTON RIDGE BLVD., Fort Worth, TX 76132

Other Identifiers 2

Medicaid155109501TX
Medicare PIN00406UTX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0708335

Texas Health Care PLLC · Fort Worth, TX
Active · expires Jan 31, 2028
CLIA Number45D0708335
Laboratory TypePhysician Office
Certificate Effective DateFebruary 1, 2026
Certificate Expiration DateJanuary 31, 2028
Laboratory DirectorShelby Paige Flewellen
Laboratory Phone(817) 648-1072
Laboratory LocationTexas Health Care PLLC6100 Harris Parkway Suite 350, Fort Worth, TX 76132
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D0678652

Texas Health Care PLLC · Fort Worth, TX
Active · expires Feb 12, 2027
CLIA Number45D0678652
Laboratory TypePhysician Office
Certificate Effective DateFebruary 13, 2025
Certificate Expiration DateFebruary 12, 2027
Laboratory DirectorCurtis R. Evans MD
Laboratory Phone(817) 740-8437
Laboratory LocationTexas Health Care PLLC6100 Harris Parkway Suite 355, Fort Worth, TX 76132
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 45D0900926

Texas Health Care, PLLC · Fort Worth, TX
Active · expires Oct 17, 2026
CLIA Number45D0900926
Laboratory TypePhysician Office
Certificate Effective DateOctober 18, 2024
Certificate Expiration DateOctober 17, 2026
Laboratory DirectorTriwanna Fisher-Wikoff
Laboratory Phone(817) 415-1900
Laboratory LocationTexas Health Care, PLLC6116 Oakbend Trail Suite 112, Fort Worth, TX 76132
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Texas Health Care, P.L.L.C.'s NPI number?

The NPI number for Texas Health Care, P.L.L.C. is 1063720654. It was assigned to this organization in the NPPES registry on September 17, 2010.

Where is Texas Health Care, P.L.L.C. located?

Texas Health Care, P.L.L.C. is located at 4950 Overton Ridge Blvd., Fort Worth, TX 76132. The listed phone number is (817) 423-2020.

What is Texas Health Care, P.L.L.C.'s specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Does Texas Health Care, P.L.L.C. hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Texas Health Care, P.L.L.C. was last updated on October 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.