TEXAS HEALTH CARE, P.L.L.C.
NPI 1417104753
Pain Medicine - Interventional Pain Medicine in Fort Worth, TX
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 1417104753) is a healthcare organization registered as an interventional pain medicine in Fort Worth, Texas and active in the NPI registry since August 2008. The organization holds 3 active CLIA laboratory certificates and lists Larry D. Tatum, C..e.o., as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
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.
Clinicians Billing Medicare Through This Organization
499Medicare 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, 13 practice at this address and 219 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 36
Nearest to this location (20)
See all 499Source: 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 45D2004014
Texas Health Care, PLLC · Granbury, TXCertificate of Compliance 45D2309473
Texas Health Care, PLLC · Fort Worth, TXCertificate of Waiver 45D1089322
Texas Healthcare, PLLC · Fort Worth, TXFrequently 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 1417104753. It was assigned to this organization in the NPPES registry on August 19, 2008.
Where is Texas Health Care, P.L.L.C. located?
Texas Health Care, P.L.L.C. is located at 1651 W. Rosedale Suite 205, Fort Worth, TX 76104. The listed phone number is (817) 332-9966.
What is Texas Health Care, P.L.L.C.'s specialty?
The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.
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, 13 practice at this address and 219 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. 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 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Texas Health Care, P.l.l.c. · NPI 1417104753
Interventional Pain Medicine organization in Fort Worth, Texas. Organization record, active in the CMS NPPES registry since August 19, 2008.
## Identity
- **NPI:** 1417104753 (Entity type: Organization)
- **Enumerated:** August 19, 2008
- **Primary specialty:** Pain Medicine - Interventional Pain Medicine · taxonomy 208VP0014X
- **Organization subpart:** No
- **Authorized official:** Larry Tatum, C..E.O.
## Practice location
- **Address:** 1651 W. ROSEDALE, SUITE 205, Fort Worth, TX 76104-7437
- **Phone:** (817) 332-9966 · **Fax:** (817) 332-9977
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 499 clinicians in 36 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (137), Obstetrics/Gynecology (83), Family Practice (37); 13 practice at this address and 219 within 10 miles; [full list](https://npiprofile.com/npi/1417104753/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 15, 2011
- **Other identifiers:** Medicaid 4785830081 (TX); Medicare PIN 00406U (TX)
- **CLIA laboratory certificates:** 3 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1417104753) · Data from the CMS NPPES public registry.