Active NPI
Sana Healthcare Carrollton
- Pain Clinic/Center
- Fort Worth, TX
National Provider Identifier
1811857782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Clinic/Center
- Legal business name
- SANA HEALTHCARE CARROLLTON
- Practice address
- 209 Saint Louis Ave Ste 102
Fort Worth, TX 76104-1278 - Phone
- (817) 409-7500
- NPI assigned
- Nov 13, 2025
- Last updated
- Nov 13, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Krishna Surapaneni, MD
- Title
- President
- Phone
- (972) 492-1010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Clinic/Center | 261QP3300X | Primary |
Addresses
Primary practice location
209 Saint Louis Ave Ste 102
Fort Worth, TX 76104-1278
Mailing address
209 Saint Louis Ave Ste 102
Fort Worth, TX 76104-1278
National Provider Directory
National Provider Directory- Tax ID family
- Sana Healthcare Carrollton
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pain Clinic/Center
- Addison, TX
- NPI 1295695153
Locations
209 Saint Louis Ave
Ste 102
Fort Worth, TX 76104
Phone (817) 409-7500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762992000000",
"number": "1811857782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 SAINT LOUIS AVE STE 102",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761041278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 SAINT LOUIS AVE STE 102",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761041278",
"telephone_number": "817-409-7500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANA HEALTHCARE CARROLLTON",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-13",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A",
"authorized_official_last_name": "SURAPANENI",
"authorized_official_first_name": "KRISHNA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "972-492-1010",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.