Organization
CTPC FORT WORTH, PLLC
Active
Other names
Central Texas Pain Center - Fort Worth, P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC JAMES MILLER MD (OWNER)
(817) 667-9535
Entity
Organization
Contact information
Practice address
72356 BOAT CLUB ROAD, FORT WORTH, TX 76179-4555
(817) 667-9535
(817) 667-9536
Mailing address
7235 BOAT CLUB RD, FORT WORTH, TX 76179-4555
(817) 667-9535
(817) 667-9536
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Q6623
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
Q6623
TX
Other
Enumeration date
03/14/2016
Last updated
03/21/2018
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