Organization · Type 2 NPI

Center for Functional Medicine and Ultimate Wellness

Clinic/Center · Fort Worth, TX

NPI number 1194430371 Active

Practice location

615 Commerce St
Fort Worth, TX 76102-5450

Call (817) 764-1148 Map

Mailing address

1607 Arrowhead Dr
Pantego, TX 76013-3012

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

2 other providers at this address

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About NPI 1194430371

Center for Functional Medicine and Ultimate Wellness's National Provider Identifier is 1194430371, issued on Jan 23, 2023. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Fort Worth, TX. The record was last updated on Jan 23, 2023.