# NT BIO-FUNCTIONAL MEDICINE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558287151
- **Authorized official:** EVA J BAILEY MD (OWNER)
- **Authorized official phone:** (817) 475-9488

## Contact information

- **Practice address:** 1512 8TH AVE STE 200, FORT WORTH, TX 76104-4149
- **Practice address phone:** (682) 217-1002
- **Mailing address:** 1512 8TH AVE STE 200, FORT WORTH, TX 76104-4149

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 06/26/2026
- **Last updated:** 07/17/2026