CTPC FORT WORTH, PLLC – NPI #1336514835
Pain Medicine

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.

CTPC FORT WORTH, PLLC is a provider located in FORT WORTH, TX. NPPES has assigned the NPI number 1336514835 to CTPC FORT WORTH, PLLC on December 09, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208VP0014X from the Health Care Provider Taxonomy code set, which is classified as Pain Medicine, specializing in Interventional Pain Medicine

The NPI profile was previously updated about 6 years ago on Sep 11, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CTPC FORT WORTH, PLLC below.

NPI Profile for
CTPC FORT WORTH, PLLC

NPI Number
1336514835
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CTPC FORT WORTH, PLLC
Primary location
7235 BOAT CLUB RD
FORT WORTH, TX 76179-4555
Phone: (817) 573-9800 Fax: (817) 573-9821
Mailing address
PO BOX 208357
DALLAS, TX 75320-8354
Phone: (512) 485-7208 Fax: (844) 364-8678
Organization Subpart
No
Authorized Official
DANIEL FREDERICK
MD/OWNER
Phone: (512) 485-7208
Updated
Certification Date
Sep 11, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208VP0014X
- Pain Medicine / Interventional Pain Medicine (Primary)
208VP0000X
- Pain Medicine / Pain Medicine
207L00000X
- Anesthesiology

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.