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 is a Family Medicine Physician 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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