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TEXAS HEALTH CARE, P.L.L.C.
NPI 1417104753
Pain Medicine - Interventional Pain Medicine in Fort Worth, TX

Active since August 19, 2008CLIA Certified · 3 labs
1651 W. ROSEDALE, SUITE 205, FORT WORTH, TX 76104(817) 332-9966(817) 332-9977 Get Directions Write a Review

NPPES record last updated: October 15, 2011. Verified against the NPPES registry weekly; last sync: August 02, 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 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

NPI1417104753
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameTEXAS HEALTH CARE, P.L.L.C.
Location Address1651 W. ROSEDALE, SUITE 205Fort Worth, TX 76104-7437
Mailing AddressP.o. Box 961205Fort Worth, TX 76161-1205 · (817) 740-8400 · Fax (817) 378-3699
Phone(817) 332-9966
Fax(817) 332-9977
Organization SubpartNo
Authorized OfficialLarry D. TatumC..e.o. · (817) 740-8400
Enumeration DateAugust 19, 2008
Last NPPES UpdateOctober 15, 2011
✔ NPI 1417104753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
1651 W. ROSEDALE, Fort Worth, TX 76104
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Other Identifiers 2

Medicaid4785830081TX
Medicare PIN00406UTX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 45D2004014

Texas Health Care, PLLC · Granbury, TX
Active · expires Feb 22, 2028
CLIA Number45D2004014
Laboratory TypePhysician Office
Certificate Effective DateFebruary 23, 2026
Certificate Expiration DateFebruary 22, 2028
Laboratory DirectorChristopher Pratt Do
Laboratory Phone(817) 332-9966
Laboratory LocationTexas Health Care, PLLC510 Us E Hwy 377, Granbury, TX 76048
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 45D2309473

Texas Health Care, PLLC · Fort Worth, TX
Active · expires Jun 10, 2027
CLIA Number45D2309473
Laboratory TypePhysician Office
Certificate Effective DateJune 11, 2025
Certificate Expiration DateJune 10, 2027
Laboratory DirectorDickson Bisong
Laboratory Phone(817) 332-9966
Laboratory LocationTexas Health Care, PLLC1001 12th Ave Suite 240, Fort Worth, TX 76104
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 45D1089322

Texas Healthcare, PLLC · Fort Worth, TX
Active · expires Sep 15, 2026
CLIA Number45D1089322
Laboratory TypePhysician Office
Certificate Effective DateSeptember 16, 2024
Certificate Expiration DateSeptember 15, 2026
Laboratory DirectorChristopher Pratt,do
Laboratory Phone(817) 332-9966
Laboratory LocationTexas Healthcare, PLLC1001 12th Ave Suite 140, Fort Worth, TX 76104
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARY DON FOSTER C.S.T.
1651 W. ROSEDALE, SUITE 200
FORT WORTH, TX 76104
Tarrant County (817) 335-4316
JAMES LOUIS BREZINA MD
Orthopaedic Surgery
1651 W. ROSEDALE, SUITE 200
FORT WORTH, TX 76104
Tarrant County (817) 335-4316

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 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.

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 14 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.