CTPC Fort Worth, PLLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

CTPC FORT WORTH, PLLC

Practice address

7235 Boat Club Rd
Fort Worth, TX 76179-4555

Phone

(817) 573-9800

Fax

(817) 573-9821

NPI assigned

Dec 9, 2015

Last updated

Sep 11, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Daniel Frederick, MDNPI 1801973581

Title

MD/Owner

Phone

(512) 485-7208

Specialties & licenses 3

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel Anthony Frederick, MD

  • Interventional Pain Medicine Physician
  • Austin, TX
  • NPI 1801973581
  Authorized official Same address or phone
• Eric James Miller, MD

  • Interventional Pain Medicine Physician
  • New Braunfels, TX
  • NPI 1619974789

  Anesthesiology

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599782400000",
    "number": "1336514835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208357",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753208354",
            "telephone_number": "512-485-7208",
            "fax_number": "844-364-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7235 BOAT CLUB RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761794555",
            "telephone_number": "817-573-9800",
            "fax_number": "817-573-9821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CTPC FORT WORTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-09",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "512-485-7208",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Reece Cruze, RBT
• Candy Cryer, ASCP-PBT
• Scott H Cryer, PT, DPT
• Crystal Dental of Fort Worth, P.C.
• CSMN Operations TX, LLC (All Points North DFW)
• CTPC Fort Worth, PLLC
• Chad Eric Cuca, DDS
• Sarah Cuddihee, SLP
• Cuddle Kids Dental Care PLLC
• Jennifer Cuellar

• Interventional Pain Medicine Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Interventional Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.