MEDICARE: WORLD MEDICAL GROUP PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	TX
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	207Q00000X	Family Medicine Physician	TX

General Provider Information

NPI Number	:	1215212345
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WORLD MEDICAL GROUP PLLC

Provider Business Mailing Address
First Line	:	PO BOX 150797
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76108-0797
Country	:	US
Telephone Number	:	817-263-9700
Fax Number	:	817-710-2917

Provider Business Practice Location Address
First Line	:	2907 MEDLIN DR
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76015-2330
Country	:	US
Telephone Number	:	817-263-9700
Fax Number	:	817-710-2917

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	DR. JASON MEYER
Credential	:	DC
Telephone Number	:	817-263-9700

Provider Enumeration Date	:	10/20/2011
Last Update Date	:	02/25/2022

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