C M PERSONS M D P A
NPI 1891090155
Orthopaedic Surgery in Fort Worth, TX

Active since January 18, 2011
4625 BOAT CLUB RD, STE: 253, FORT WORTH, TX 76135(817) 399-1622(817) 540-0759 Get Directions Write a Review

NPPES record last updated: October 16, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About C M Persons M D P A NPPES

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

C M PERSONS M D P A (NPI 1891090155) is a healthcare organization registered as an orthopaedic surgery in Fort Worth, Texas and active in the NPI registry since January 2011. The organization lists Kelly M Persons, Nurse, as its authorized official.

NPPES Registry Identity

NPI1891090155
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameC M PERSONS M D P A
Location Address4625 BOAT CLUB RD, STE: 253Fort Worth, TX 76135-7022
Mailing Address4625 Boat Club Rd., Ste: 253Fort Worth, TX 76135-7023 · (817) 399-1622 · Fax (817) 540-0759
Fax(817) 540-0759
Organization SubpartNo
Authorized OfficialKelly M PersonsNurse · (817) 399-1622
Enumeration DateJanuary 18, 2011
Last NPPES UpdateOctober 16, 2013
NPI 1891090155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in TX · F4368
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
4625 BOAT CLUB RD, Fort Worth, TX 76135

Other Identifiers 4

Medicare PIN00EU36
Medicare NSC1035650001TX
Medicare UPINC20436TX
Medicaid114261403TX

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 10

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

Physical Therapist
4625 BOAT CLUB RD
FORT WORTH, TX 76135
Physical Therapist
4625 BOAT CLUB RD
FORT WORTH, TX 76135
Orthopaedic Surgery
4625 BOAT CLUB RD, SUITE 253
FORT WORTH, TX 76135
Preferred Provider Organization
4625 BOAT CLUB RD, STE 225
FORT WORTH, TX 76135
Physical Therapist
4625 BOAT CLUB RD
FORT WORTH, TX 76135
Physical Therapist
4625 BOAT CLUB RD
FORT WORTH, TX 76135
Physical Therapist
4625 BOAT CLUB RD
FORT WORTH, TX 76135
Otolaryngology
4625 BOAT CLUB RD, SUITE 257
FORT WORTH, TX 76135

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 C M Persons M D P A's NPI number?

The NPI number for C M Persons M D P A is 1891090155. It was assigned to this organization in the NPPES registry on January 18, 2011.

Where is C M Persons M D P A located?

C M Persons M D P A is located at 4625 Boat Club Rd Ste: 253, Fort Worth, TX 76135. The listed phone number is (817) 399-1622.

What is C M Persons M D P A's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

When was this NPI record last updated?

The NPPES record for C M Persons M D P A was last updated on October 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.