MEDICARE: RJ MEDICAL 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
1	207Q00000X	Family Medicine Physician
2	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1588253678
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RJ MEDICAL SERVICES LLC

Provider Business Mailing Address
First Line	:	5521 BELLAIRE DR S STE 200
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76109-5855
Country	:	US
Telephone Number	:	469-281-1655
Fax Number	:	888-500-6995

Provider Business Practice Location Address
First Line	:	1910 FORT WORTH HWY
Second Line	:
City	:	WEATHERFORD
State	:	TX
Zip	:	76086-4704
Country	:	US
Telephone Number	:	817-210-6580
Fax Number	:	817-549-6266

Authorized Official
Title or Position	:	BUSINESS MANAGER
Name	:	MARIA ALCANTAR
Credential	:
Telephone Number	:	817-412-0792

Provider Enumeration Date	:	01/13/2021
Last Update Date	:	10/22/2025

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