CTPC FORT WORTH, PLLC


Address: 72356 Boat Club Road, Fort Worth, TX 76179-4555
Phone: 8176679535

CTPC FORT WORTH, PLLC (NPI# 1770944076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770944076
Entity Type Organization
Organization Name CTPC FORT WORTH, PLLC
Other Organization Name CENTRAL TEXAS PAIN CENTER - FORT WORTH, P.A.
Practice Address 72356 Boat Club Road
Fort Worth
TX 76179-4555
Mailing Address 7235 Boat Club Rd
Fort Worth
TX 76179-4555
Practice Telephone 8176679535
Practice Fax Number 8176679536
Mailing Telephone 8176679535
Mailing Fax Number 8176679536
Enumeration Date 2016-03-14
Last Update Date 2018-03-21
Authorized Official Name ERIC JAMES MILLER (OWNER)
Authorized Official Telephone 8176679535
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207L00000X Anesthesiology Q6623 TX Allopathic & Osteopathic Physicians
Y 208VP0014X Pain Medicine
Specialization: Interventional Pain Medicine
Q6623 TX Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Central Texas Pain Center - Fort Worth, P.A. Former Legal Business Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1336514835 Ctpc Fort Worth, Pllc Anesthesiology 7235 Boat Club Rd, Fort Worth, TX 76179-4555 2015-12-09

Office Location

Street Address 72356 BOAT CLUB ROAD
City FORT WORTH
State TX
Zip Code 76179-4555

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992347215 Katherine M Wright Behavior Technician 5804 Boat Club Road, Fort Worth, TX 76179 2019-10-09
1982245775 Makaylin Rene Mayes Behavior Technician 5804 Boat Club Rd, Fort Worth, TX 76179 2019-10-02
1881246049 Renkuntla Pllc Dentist 240 S Saginaw Blvd, Saginaw, TX 76179 2019-07-09
1376062026 Michele Ann Taylor Massage Therapist 6352 Stone Lake Drive, Fort Worth, TX 76179 2017-09-13
1649796921 Amanda Williams Music Therapist 6212 Rocky Point Trail, Lake Worth, TX 76179 2017-08-17
1912437922 Dentists of Eagle Mountain, PC Dentist 4624 West Bailey Boswell Road, Suite 200, Fort Worth, TX 76179 2017-06-13
1982059283 11th Hour Counseling Social Worker 949 Sherry Ln, Saginaw, TX 76179 2016-04-25
1114307212 Stephanie Lee Beavers Chiropractor 524 Buckstone Dr., Saginaw, TX 76179 2015-06-03
1760885297 Kali Nagabalaji Pharmacy 200 W J Boaz Rd, Ste 100, Saginaw, TX 76179 2014-09-29
1750794541 Julie Norwood Dentist 1453 N. Saginaw Blvd., Suite 150, Saginaw, TX 76179 2014-06-09
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Taxonomy Information

Taxonomy Code 208VP0014X
Grouping Allopathic & Osteopathic Physicians
Classification Pain Medicine
Specialization Interventional Pain Medicine

Taxonomy Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154574044 Tim Paul Ratino Pain Medicine 1307 8th Ave Ste 506, Fort Worth, TX 76104-4142 2008-10-23
1598915720 Texas Heatlh Care, P.l.l.c. Pain Medicine 6701 Oakmont Blvd., Fort Worth, TX 76132-2957 2008-09-24
1104030782 Thomas M. Ratino Pain Medicine 1307 8th Ave., Suite 506, Fort Worth, TX 76104-4142 2007-05-10
1437215894 Texas Health Care, P.l.l.c. Pain Medicine 413 W. Rosedale, Fort Worth, TX 76104-4808 2006-12-29
1477628873 Texas Health Care, P.l.l.c. Pain Medicine 1307 8th Ave., Suite 506, Fort Worth, TX 76104-4142 2006-11-21
1184649907 Vinay Dalal Pain Medicine 413 West Rosedale, Fort Worth, TX 76104-4808 2006-07-13
1053315382 Ved V Aggarwal Md Pa Pain Medicine 1000 Lipscomb St Ste 110, Fort Worth, TX 76104-3181 2005-06-01
1922617125 Pain Management Specialists Pain Medicine 923 College Ave Ste 103, Fort Worth, TX 76104-3051 2020-07-24
1912458233 Elite Pain Management and Monitoring Pain Medicine 6805 Ne Loop 820, Suite 408, Fort Worth, TX 76180-6687 2016-10-21
1639510936 Robert D. Menzies, Md, Pllc Pain Medicine 7148 Trail Lake Dr, Fort Worth, TX 76123-1969 2013-07-15
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Competitor

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City FORT WORTH
Zip Code 76179

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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