person
Larry D Tatum, MD
Gynecology Physician in Fort Worth, Texas
NPI 1437195609

Larry D Tatum is a Gynecology Physician based in Fort Worth, TX and is specialized in Gynecology. Larry D Tatum practices in Fort Worth, TX and has the professional credentials of MD. The NPI Number for Larry D Tatum is 1437195609 and holds a License No. F4585 (Texas).

The current practice location address for Larry D Tatum is 1250 8Th Ave Ste 430, Fort Worth, TX and can be reached out via phone at 817-923-5558 and via fax at 817-923-0087. You can also correspond with Larry D Tatum through the mailing address at PO BOX 961205, FORT WORTH, TX - 76161-1205 (mailing address contact number: 817-740-8400).

Location: 1250 8Th Ave Ste 430, Fort Worth, TX, 76161-1205
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Provider Profile Details
NPI Number
1437195609
Provider Name
Larry D Tatum
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1250 8Th Ave Ste 430, Fort Worth, TX, 76161-1205
Phone Number
817-923-5558
Fax Number
817-923-0087
Provider Enumeration Date
06/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
047134403 05 TX
047134405 05 TX
160059746 01 RAILROAD
institution
Provider Business Practice Location Address Details
Address
1250 8Th Ave Ste 430
City
State
Zip
76104-4144
Phone Number
817-923-5558
Fax Number
817-923-0087
person
Provider Business Mailing Address Details
Address
1250 8Th Ave Ste 430
City
State
Zip
76104-4144
Phone Number
817-923-5558
Fax Number
817-923-0087
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
License No.
F4585 (Texas)
Definition
Definition to come...
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