CENTER FOR FUNCTIONAL MEDICINE AND ULTIMATE WELLNESS
NPI 1194430371
Clinic/Center in Fort Worth, TX

Active since January 23, 2023
615 COMMERCE ST, FORT WORTH, TX 76102(817) 764-1148 Get Directions Write a Review

NPPES record last updated: January 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Center For Functional Medicine And Ultimate Wellness NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTER FOR FUNCTIONAL MEDICINE AND ULTIMATE WELLNESS (NPI 1194430371) is a healthcare organization registered as a clinic/center in Fort Worth, Texas and active in the NPI registry since January 2023. The organization lists John Byron Mcclain, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1194430371
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCENTER FOR FUNCTIONAL MEDICINE AND ULTIMATE WELLNESS
Location Address615 COMMERCE STFort Worth, TX 76102-5450
Mailing Address1607 Arrowhead DrPantego, TX 76013-3012 · (936) 240-0530 · Fax (682) 238-3509
Organization SubpartNo
Authorized OfficialJohn Byron McclainMedical Director · (936) 240-0530
Enumeration DateJanuary 23, 2023
NPPES CertifiedJanuary 18, 2023
NPI 1194430371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedFamily MedicineTaxonomy 207Q00000X
615 COMMERCE ST, Fort Worth, TX 76102

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor (Sports Physician)
615 COMMERCE ST
FORT WORTH, TX 76102
Clinic/Center (Recovery Care)
615 COMMERCE ST
FORT WORTH, TX 76102

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Center For Functional Medicine And Ultimate Wellness's NPI number?

The NPI number for Center For Functional Medicine And Ultimate Wellness is 1194430371. It was assigned to this organization in the NPPES registry on January 23, 2023.

Where is Center For Functional Medicine And Ultimate Wellness located?

Center For Functional Medicine And Ultimate Wellness is located at 615 Commerce St, Fort Worth, TX 76102. The listed phone number is (817) 764-1148.

What is Center For Functional Medicine And Ultimate Wellness's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Center For Functional Medicine And Ultimate Wellness was last updated on January 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.