OrganizationTexas Health Care, P.L.L.C.Family MedicineAllopathic & Osteopathic PhysiciansPractice Address1209 College Ave., Fort Worth, TX 76104-4516(817) 348-9569(817) 740-8400PECOS EnrollmentBased on the most recent information from CMS, provider Texas Health Care, P.L.L.C. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1285782383Provider TypeOrganizationFull NameTexas Health Care, P.L.L.C.SubpartNoEnumeration Date1/8/2007Last Updated7/2/2012Contact InformationPractice LocationPractice Address1209 College Ave., Fort Worth, TX 76104-4516Phone(817) 348-9569Fax(817) 348-9579Mailing LocationMailing AddressP.O. Box 961205, Fort Worth, TX 76161-1205Phone(817) 740-8400Fax(817) 348-9579Authorized OfficialNameTatum, Larry D. (C.E.O.)Phone(817) 740-8400Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID155109501DescriptionMedicaidIssuerUnlistedTexas