| Meta Medical Services Pa | |
|
4732 E Lancaster Ave Ste B Fort Worth TX 76103-3836 | |
| (817) 413-0943 | |
| Not Available |
| Full Name | Meta Medical Services Pa |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 4732 E Lancaster Ave Ste B, Fort Worth, Texas |
| Authorized Official Name and Position | Adolphus Ray Lewis (PHYSICIAN/OWNER) |
| Authorized Official Contact | 8174130943 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Meta Medical Services Pa 4732 E Lancaster Ave Ste B Fort Worth TX 76103-3836 Ph: (817) 413-0943 | Meta Medical Services Pa 4732 E Lancaster Ave Ste B Fort Worth TX 76103-3836 Ph: (817) 413-0943 |
| NPI Number | 1558331066 |
|---|---|
| Provider Enumeration Date | 01/25/2006 |
| Last Update Date | 05/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558331066 | NPI | - | NPPES |
| 170661602 | Medicaid | TX | |
| 00377R | Other | TX | BLUE CROSS BLUE SHIELD |
| DD6278 | Other | TX | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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