CTPC FORT WORTH, PLLC
NPI 1336514835
Pain Medicine - Interventional Pain Medicine in Fort Worth, TX

Active since December 09, 2015
7235 BOAT CLUB RD, FORT WORTH, TX 76179(817) 573-9800(817) 573-9821 Get Directions Write a Review

NPPES record last updated: September 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2020, Nov 27, 2017, Dec 9, 2015 (3 updates tracked since 2015).

About Ctpc Fort Worth, Pllc NPPES

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

CTPC FORT WORTH, PLLC (NPI 1336514835) is a healthcare organization registered as an interventional pain medicine in Fort Worth, Texas and active in the NPI registry since December 2015. The organization lists Daniel Frederick, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1336514835
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameCTPC FORT WORTH, PLLC
Location Address7235 BOAT CLUB RDFort Worth, TX 76179-4555
Mailing AddressPo Box 208357Dallas, TX 75320-8354 · (512) 485-7208 · Fax (844) 364-8678
Fax(817) 573-9821
Organization SubpartNo
Authorized OfficialDaniel FrederickMd/owner · (512) 485-7208
Enumeration DateDecember 9, 2015
Last NPPES UpdateSeptember 11, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2020
NPI 1336514835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
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.
Also ListedAnesthesiologyTaxonomy 207L00000X
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X
7235 BOAT CLUB RD, Fort Worth, TX 76179

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

Pain Medicine (Pain Medicine)
7235 BOAT CLUB RD
FT WORTH, TX 76179
Nurse Practitioner (Adult Health)
7235 BOAT CLUB RD
FORT WORTH, TX 76179
Physical Medicine & Rehabilitation
7235 BOAT CLUB RD
FORT WORTH, TX 76179
Durable Medical Equipment & Medical Supplies
7235 BOAT CLUB RD
FORT WORTH, TX 76179

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 Ctpc Fort Worth, PLLC's NPI number?

The NPI number for Ctpc Fort Worth, PLLC is 1336514835. It was assigned to this organization in the NPPES registry on December 9, 2015.

Where is Ctpc Fort Worth, PLLC located?

Ctpc Fort Worth, PLLC is located at 7235 Boat Club Rd, Fort Worth, TX 76179. The listed phone number is (817) 573-9800.

What is Ctpc Fort Worth, PLLC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

When was this NPI record last updated?

The NPPES record for Ctpc Fort Worth, PLLC was last updated on September 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.