MEDICARE: DR. DUSTIN MATTHEW WORTHINGTON DC

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	111N00000X	Chiropractor	14013	TX

General Provider Information

NPI Number	:	1033700828
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DUSTIN MATTHEW WORTHINGTON DC

Provider Business Mailing Address
First Line	:	2300 W 7TH ST STE 114
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76107-2311
Country	:	US
Telephone Number	:	817-381-1920
Fax Number	:	817-764-2731

Provider Business Practice Location Address
First Line	:	2300 W 7TH ST STE 114
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76107-2311
Country	:	US
Telephone Number	:	817-381-1920
Fax Number	:	817-764-2731

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2021
Last Update Date	:	03/01/2023

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Directions to “ DR. DUSTIN MATTHEW WORTHINGTON DC” Practice Location

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