Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Center for Functional Medicine and Ultimate Wellness

Organization Family Medicine Physician · NPI 1194430371

Center for Functional Medicine and Ultimate Wellness provides Family Medicine Physician services in Fort Worth, Texas. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

615 Commerce St
Fort Worth, TX 76102-5450
Phone: (817) 764-1148
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1194430371
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John McClain — Medical Director · (936) 240-0530
NPI enumeratedJanuary 23, 2023
Last updated in NPPESJanuary 23, 2023
Certification dateJanuary 18, 2023
Mailing address1607 Arrowhead Dr, Pantego, TX 76013-3012

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