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General NPI Number Information
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NPI Number | 1558331066
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Entity Type | Organization
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Legal Business Name | META MEDICAL SERVICES PA
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Dates
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Enumeration Date | 01/25/2006
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Last Update Date | 05/26/2015
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Provider Practice Location Address
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Address Line | 4732 E LANCASTER AVE STE B
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City | FORT WORTH
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State | TX
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Zip | 76103-3836
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Country | US
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Telephone | 817-413-0943
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Fax |
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Provider Business Mailing Address
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Address Line | 4732 E LANCASTER AVE STE B
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City | FORT WORTH
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State | TX
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Zip | 76103-3836
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Country | US
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Telephone | 817-413-0943
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. ADOLPHUS RAY LEWIS
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Credential | D.O.
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Telephone | 817-413-0943
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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