Privia Medical Group North Texas – Foot & Ankle Surgery Podiatrist, NPI 1508410796

Foot & Ankle Surgery Podiatrist

Privia Medical Group North Texas is a healthcare provider. based in Fort worth, Texas. specializing in Foot & Ankle Surgery Podiatrist. The NPI Number for Privia Medical Group North Texas is 1508410796

Main info

Organization

Name

Privia Medical Group North Texas

NPI

1508410796

Phone

(817) 740-8400

Address

P. O. BOX 961205

Authorized Official

LARRY D. TATUM C.E.O. M.D.

Enumeration Date

26 July 2019

Last Update Date

26 July 2019

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience17

Completeness80

Years active:6State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Privia Medical Group North Texas

P. O. BOX 961205
FORT WORTH, TX 761611205
Phone: (817) 740-8400
Fax: (817) 378-3699
Type: Mailing
Southwest 25th Avenue, Mineral Wells, Palo Pinto County, Texas, United States
MINERAL WELLS, TX 760678403
Phone: (940) 325-3330
Fax: (855) 227-6997
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76161)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Privia Medical Group North Texas?

Privia Medical Group North Texas — NPI 1508410796 — is the standard way to identify this listing.

Can I rely on Privia Medical Group North Texas being an active provider?

As of the registry snapshot, Privia Medical Group North Texas is marked active.

What taxonomy line describes Privia Medical Group North Texas?

For research purposes, treat Privia Medical Group North Texas as Foot & Ankle Surgery Podiatrist in this dataset. Clinical services aligned with this taxonomy classification.

Where should I expect Privia Medical Group North Texas on a map?

Expect Fort Worth, Texas as a primary anchor for Privia Medical Group North Texas unless the record lists multiple sites.

Is specialty guaranteed by NPI alone?

Taxonomy selections describe intent; scope of practice still follows state law.