| NPI | 1184491540 |
|---|---|
| Doing Business As | PRIVIA MEDICAL GROUP NORTH TEXAS |
| Entity Type | Organization |
| Authorized Contact | LARRY D TATUM CEO 817-740-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| Enumeration Date | 2023-12-06 |
| Last Update Date | 2023-12-06 |