CTPC FORT WORTH, PLLC

FORT WORTH, TX
NPI1770944076
Former Legal Business NameCENTRAL TEXAS PAIN CENTER - FORT WORTH, P.A.
Entity TypeOrganization
Authorized ContactERIC JAMES MILLER
Owner
817-667-9535
Organization Subpart ?No
Primary Taxonomy208VP0014X Pain Medicine, Interventional Pain Medicine
(Licence: TX  Q6623)
Additional Taxonomies207L00000X Anesthesiology
(Licence: TX  Q6623)
Enumeration Date2016-03-14
Last Update Date2018-03-21
Business Address
CTPC FORT WORTH, PLLC
72356 BOAT CLUB ROAD
FORT WORTH, TX 76179-4555
Phone number: 817-667-9535
Mailing Address
CTPC FORT WORTH, PLLC
7235 BOAT CLUB RD
FORT WORTH, TX 76179-4555
Phone number: 817-667-9535