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NPI Code Detail

MEDICARE: WEATHERFORD HEALTH SERVICES, LLC

MEDICARE: WEATHERFORD HEALTH SERVICES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1205760451
Entity Type Code : Organization
Provider Name (Legal Business Name) : WEATHERFORD HEALTH SERVICES, LLC
Provider Business Mailing Address
First Line : 905 EUREKA ST
Second Line :
City : WEATHERFORD
State : TX
Zip : 76086-5809
Country : US
Telephone Number : 682-582-1000
Fax Number :
Provider Business Practice Location Address
First Line : 905 EUREKA ST
Second Line :
City : WEATHERFORD
State : TX
Zip : 76086-5809
Country : US
Telephone Number : 682-582-1000
Fax Number :
Authorized Official
Title or Position : CEO
Name : ALLEN MARSH
Credential :
Telephone Number : 972-401-8771
Provider Enumeration Date : 06/11/2026
Last Update Date : 06/11/2026

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Directions to “WEATHERFORD HEALTH SERVICES, LLC ” Practice Location

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