MEDICARE: WPMD 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	333600000X	Pharmacy
2	3336C0004X	Compounding Pharmacy
3	3336C0003X	Community/Retail Pharmacy	28125	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2136587	OTHER		PK

General Provider Information

NPI Number	:	1083962963
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WPMD LLC

Provider Business Mailing Address
First Line	:	3415 S COOPER ST
Second Line	:	STE 106
City	:	ARLINGTON
State	:	TX
Zip	:	76015-3446
Country	:	US
Telephone Number	:	817-642-5613
Fax Number	:	682-238-3686

Provider Business Practice Location Address
First Line	:	3415 S COOPER ST
Second Line	:	STE 106
City	:	ARLINGTON
State	:	TX
Zip	:	76015-3446
Country	:	US
Telephone Number	:	817-642-5613
Fax Number	:	682-238-3686

Authorized Official
Title or Position	:	OWNER
Name	:	THAI PHAM
Credential	:
Telephone Number	:	817-642-5613

Provider Enumeration Date	:	08/27/2012
Last Update Date	:	03/20/2017

Similar Medicare Providers

1174906937 — BRIDGETTE HILL
Practice Location Address:

3415 S COOPER ST , SUITE 103-972
ARLINGTON, TX
76015-3446

Practice Phone: 469-231-4935
Practice Fax:

1336098177 — BRYN ZIELKE
Practice Location Address:

3301 MATLOCK RD
ARLINGTON, TX
76015-2908

Practice Phone: 682-265-1513
Practice Fax:

1447607387 — DR. WILLIAM DAVID WALKER MD
Practice Location Address:

3201 MATLOCK RD STE 350
ARLINGTON, TX
76015-2954

Practice Phone: 817-468-3255
Practice Fax: 817-468-7823

1851321558 — GUY R BIBEAU M.D.
Practice Location Address:

3301 MATLOCK RD
ARLINGTON, TX
76015-2908

Practice Phone: 954-939-5000
Practice Fax:

1104776053 — EVERBLOOM HOME HEALTH CARE LLC
Practice Location Address:

700 HIGHLANDER BLVD STE 505
ARLINGTON, TX
76015-4326

Practice Phone: 817-691-9452
Practice Fax:

1366300279 — FREEMIND WELLNESS PLLC
Practice Location Address:

3604 S COOPER ST STE 110
ARLINGTON, TX
76015-3482

Practice Phone: 469-438-8886
Practice Fax:

Directions to “WPMD LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.