TEXAS HEALTH CARE, PLLC
NPI 1972386019
Family Medicine - Sports Medicine in Willow Park, TX

Q: What is Texas Health Care, PLLC's NPI number?

The NPI number for Texas Health Care, PLLC is 1972386019. It was assigned to this organization in the NPPES registry on August 14, 2023. The provider is doing business as Privia Medical Group North Texas.

Q: What is Texas Health Care, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Active since August 14, 2023CLIA 45D2174874 · Waiver

110 MARY LOU DR. STE. 100, WILLOW PARK, TX 76087(817) 930-2030(817) 930-2031 Get Directions Write a Review

NPPES record last updated: August 14, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Texas Health Care, Pllc NPPES

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

TEXAS HEALTH CARE, PLLC (NPI 1972386019), doing business as Privia Medical Group North Texas, is a healthcare organization registered as a sports medicine in Willow Park, Texas and active in the NPI registry since August 2023. The organization holds a CLIA Waiver certificate valid through November 11, 2027 and lists Larry D Tatum, Ceo, as its authorized official.

NPPES Registry Identity

NPI1972386019

Entity TypeOrganization

Primary Taxonomy207QS0010X

Legal Business NameTEXAS HEALTH CARE, PLLC

Location Address110 MARY LOU DR. STE. 100Willow Park, TX 76087-8767

Mailing AddressPo Box 961205Fort Worth, TX 76161-0205 · (817) 740-8400 · Fax (817) 378-3699

Phone(817) 930-2030

Fax(817) 930-2031

Organization SubpartNo

Authorized OfficialLarry D TatumCeo · (817) 740-8400

Enumeration DateAugust 14, 2023

NPPES CertifiedAugust 11, 2023

✔ NPI 1972386019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X

Also ListedOrthopaedic Surgery · Hand SurgeryTaxonomy 207XS0106X

Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X

110 MARY LOU DR. STE. 100, Willow Park, TX 76087

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Other Names 1

Doing Business AsPrivia Medical Group North Texas

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

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 45D2174874

Texas Health Care Brock Primary Care · Brock, TX

Active · expires Nov 11, 2027

CLIA Number45D2174874

Laboratory TypePhysician Office

Certificate Effective DateNovember 12, 2025

Certificate Expiration DateNovember 11, 2027

Laboratory DirectorGreg Bratton

Laboratory Phone(817) 341-1300

Laboratory LocationTexas Health Care Brock Primary Care7455 Quanah Hill Rd Suite 500, Brock, TX 76087

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, PLLC's NPI number?

The NPI number for Texas Health Care, PLLC is 1972386019. It was assigned to this organization in the NPPES registry on August 14, 2023. The provider is doing business as Privia Medical Group North Texas.

Where is Texas Health Care, PLLC located?

Texas Health Care, PLLC is located at 110 Mary Lou Dr. Ste. 100, Willow Park, TX 76087. The listed phone number is (817) 930-2030.

What is Texas Health Care, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Does Texas Health Care, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2174874) is associated with this NPI, valid through November 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Texas Health Care, PLLC was last updated on August 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.