Individual provider Active NPI

Clinton Warren Twaddell Jr., M.D.

  • Surgery Physician
  • Fort Worth, TX
National Provider Identifier
1437131901
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
H6668 Issued in TX
Practice address
5801 Oakbend TRL Ste 180
Fort Worth, TX 76132-3915
Phone
(800) 991-6117
Fax
(888) 812-8199
NPI assigned
Nov 18, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X H6668 TX Primary

Addresses

Primary practice location

5801 Oakbend TRL Ste 180
Fort Worth, TX 76132-3915

Mailing address

3820 Northdale Blvd Ste 201
Tampa, FL 33624-1893
Phone (800) 991-6117

Other practice location 1

220 N Ridgeway Dr
Cleburne, TX 76033-4115
Phone (817) 556-4800

Other identifiers 1

IdentifierTypeStateIssuer
098679603MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WI, AR3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20120416000115 TX Practitioner - General Surgery 5294996468 Reassigns benefits to 4 organizations
I20180919000254 WI Practitioner - General Surgery 5294996468 Reassigns benefits to 1 organization
I20210309000536 AR Practitioner - General Surgery 5294996468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Texas Southwestern Medical School at Dallas, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Uvc Medical PLLCGroup PAC ID 4385085521, 18 clinicians

Practice addresses (Care Compare)

610 Uptown Blvd
Suite 4500
Cedar Hill, TX 75104-3524
Phone (800) 991-6117

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Varicose vein removal43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
H6668TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson Regional Medical Center Surgery CurrentSince Apr 1, 2021 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Sep 1, 2018 Accepting new patients
Johnson Regional Medical Center CurrentSince Apr 1, 2021 Accepting new patients
Beaver Dam Community Hospitals Inc Current Accepting new patients
Christus Trinity Clinic Texas CurrentSince Dec 18, 2017 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Sep 1, 2018 Accepting new patients
Cleburne Family Medicine Associates, PLLC CurrentSince Jan 4, 2012 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Dec 18, 2017 Accepting new patients
Srinivas Rao MD PA Surgery CurrentSince Aug 1, 2025 Accepting new patients
Texas Uvc Medical PLLC Surgery CurrentSince Aug 1, 2025 Accepting new patients
Sameer Syed, MD, PA PastSince Aug 1, 2025 Accepting new patients
Johnson Regional Medical Center Past Accepting new patients

Locations (25 of 26)

1 Medicine Dr
Clarksville, AR 72830
Phone (479) 754-5405

2 Medicine Dr
Clarksville, AR 72830
Phone (479) 705-2124

3820 Northdale Blvd
Ste 201
Tampa, FL 33624

635 Medical Pkwy
Brenham, TX 77833
Phone (979) 830-1444

610 Uptown Blvd
Ste 4500
Cedar Hill, TX 75104

220 N Ridgeway Dr
Cleburne, TX 76033
Phone (817) 556-4800

27160 Highway 290
Ste 107
Cypress, TX 77433

3310 Live Oak St
Ste 410
Dallas, TX 75204

5801 Oakbend Trl
Ste 201
Fort Worth, TX 76132

209 Saint Louis Ave
Fort Worth, TX 76104
Phone (713) 907-6507

5858 Main St
Ste 140
Frisco, TX 75033
Phone (972) 403-9700

5801 Oakbend Trl
Ste 180
Ft Worth, TX 76132
Phone (817) 370-9010

1631 Lancaster Dr
Ste 200
Grapevine, TX 76051
Phone (817) 329-5433

11221 Katy Fwy
Ste 115
Houston, TX 77079
Phone (281) 888-1464

5585 Weslayan St
Houston, TX 77005
Phone (713) 240-4913

1750 Broad Park Cir S
Ste 300
Mansfield, TX 76063
Phone (682) 200-2517

1920 Country Place Pkwy
Ste 110
Pearland, TX 77584
Phone (281) 991-8346

3101 E President George Bush Hwy
Ste 130
Richardson, TX 75082

3101 E President George Bush Hwy
Richardson, TX 75082

4655 Sweetwater Blvd
Ste 675
Sugar Land, TX 77479

9303 Pinecroft Dr
Ste 350
The Woodlands, TX 77380
Phone (281) 292-0121

910 E Houston St
Ste 470
Tyler, TX 75702
Phone (903) 526-2644

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

202 N Texas Ave
Ste 300
Webster, TX 77598
Phone (281) 513-1478

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1437131901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 NORTHDALE BLVD STE 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241893",
            "telephone_number": "800-991-6117",
            "fax_number": "888-812-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 OAKBEND TRL STE 180",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323915",
            "telephone_number": "800-991-6117",
            "fax_number": "888-812-8199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 N Ridgeway Dr",
            "address_purpose": "LOCATION",
            "city": "Cleburne",
            "state": "TX",
            "postal_code": "760334115",
            "country_code": "US",
            "telephone_number": "817-556-4800",
            "fax_number": "817-774-5015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TWADDELL",
        "first_name": "CLINTON",
        "middle_name": "WARREN",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "H6668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098679603",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.