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

Active since September 17, 2010CLIA Certified · 2 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 25, 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 2 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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Texas Health Care, P.l.l.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20031110000388Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

499

Medicare enrollment records show 499 clinicians reassign Medicare billing to Texas Health Care, P.L.L.C., which bills Medicare for the services they deliver. Of these, 216 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 36

Nurse Practitioner137
Obstetrics/Gynecology83
Family Practice37
Pediatric Medicine34
Internal Medicine28
Otolaryngology23
Qualified Audiologist21
General Surgery17
28 other specialties119

Nearest to this location (20)

See all 499
Qualified Audiologist
NPI 1871488213
5751 EDWARDS RANCH RD STE 200
Fort Worth, TX 76109
(817) 678-5242
✔ Accepts Medicare0.8 mi
Otolaryngology
NPI 1366641581
5751 EDWARDS RANCH ROAD, SUITE 200
Fort Worth, TX 76109
(817) 332-8848
✔ PECOS✔ Accepts Medicare0.8 mi
Otolaryngology
NPI 1851591648
5751 EDWARDS RANCH ROAD, SUITE 200
Fort Worth, TX 76109
(817) 332-8848
✔ PECOS✔ Accepts Medicare0.8 mi
Otolaryngology
NPI 1780800938
5751 EDWARDS RANCH ROAD, SUITE 200
Fort Worth, TX 76109
(817) 332-8848
✔ PECOS✔ Accepts Medicare0.8 mi
Hand Surgery
NPI 1346878709
5612 EDWARDS RANCH RD
Fort Worth, TX 76109
(817) 702-3000
✔ PECOS0.8 mi
Family Practice
NPI 1326451063
5612 EDWARDS RANCH RD
Fort Worth, TX 76109
(817) 632-8380
✔ PECOS✔ Accepts Medicare0.8 mi
Orthopedic Surgery
NPI 1750791513
5612 EDWARDS RANCH RD
Fort Worth, TX 76109
(817) 420-9238
✔ PECOS✔ Accepts Medicare0.8 mi
Orthopedic Surgery
NPI 1356787188
5612 EDWARDS RANCH RD
Ft Worth, TX 76109
(817) 420-9238
✔ PECOS✔ Accepts Medicare0.8 mi
Internal Medicine
NPI 1679782908
5612 EDWARDS RANCH RD
Fort Worth, TX 76109
(817) 921-5446
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1720674591
5612 EDWARDS RANCH RD
Fort Worth, TX 76109
(817) 921-5446
✔ PECOS0.8 mi
Hand Surgery
NPI 1720022692
5612 EDWARDS RANCH RD
Fort Worth, TX 76109
(817) 420-9238
✔ PECOS✔ Accepts Medicare0.8 mi
Family Practice
NPI 1912924515
5612 EDWARDS RANCH RD
Fort Worth, TX 76109
(817) 263-7200
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1346940624
5612 EDWARDS RANCH RD
Fort Worth, TX 76109
(817) 263-7200
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1972383552
5612 EDWARDS RANCH RD
Fort Worth, TX 76109
(817) 632-8380
✔ PECOS✔ Accepts Medicare0.8 mi
Internal Medicine
NPI 1285697656
5612 EDWARDS RANCH RD
Fort Worth, TX 76109
(817) 820-0090
✔ PECOS✔ Accepts Medicare0.8 mi
Hand Surgery
NPI 1982836433
5612 EDWARDS RANCH RD
Fort Worth, TX 76109
(817) 420-9238
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1023815321
5612 EDWARDS RANCH RD
Fort Worth, TX 76109
(817) 993-4226
✔ PECOS✔ Accepts Medicare0.8 mi
Internal Medicine
NPI 1720306418
5612 EDWARDS RANCH RD
Fort Worth, TX 76109
(817) 435-9370
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1083356091
5612 EDWARDS RANCH RD
Fort Worth, TX 76109
(817) 921-5446
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1265008528
5521 BELLAIRE DR S STE 116
Fort Worth, TX 76109
(817) 496-0766
✔ PECOS✔ Accepts Medicare1.0 mi
See all 499 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
Expired · 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.

Is Texas Health Care, P.L.L.C. enrolled in Medicare?

Yes. Texas Health Care, P.L.L.C. is registered in the Medicare PECOS enrollment system.

When is Texas Health Care, P.L.L.C.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Texas Health Care, P.L.L.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 499 clinicians in 36 Medicare specialties reassign their Medicare billing to Texas Health Care, P.L.L.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (137), Obstetrics/Gynecology (83) and Family Practice (37). Of these, 216 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Yes. 2 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.