# CAREFIRST MEDICAL ASSOCIATES AND PAIN REHABILITATION, PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CAREFIRST MEDICAL ASSOCIATES AND PAIN REHABILITATION, PA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1780817866
- **Legal business name:** CAREFIRST MEDICAL ASSOCIATES AND PAIN REHABILITATION, PA
- **Authorized official:** DR. RANDALL W RODGERS D.O. (PHYSICIAN-PRESIDENT)
- **Authorized official phone:** (903) 839-1000

## Contact information

- **Practice address:** 3704 ALTA MESA BLVD, FORT WORTH, TX 76133-5606
- **Practice address phone:** (817) 423-4440
- **Practice address fax:** (817) 423-4441
- **Mailing address:** 403 STATE HIGHWAY 110 N, WHITEHOUSE, TX 75791-3109
- **Mailing address phone:** (903) 839-1000
- **Mailing address fax:** (903) 839-4000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/24/2009
- **Last updated:** 01/04/2011