Organization
META MEDICAL SERVICES PA
Active
Organization
META MEDICAL SERVICES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADOLPHUS RAY LEWIS D.O. (PHYSICIAN/OWNER)
(817) 413-0943
Entity
Organization
Contact information
Practice address
4732 E LANCASTER AVE STE B, FORT WORTH, TX 76103-3836
(817) 413-0943
Mailing address
4732 E LANCASTER AVE STE B, FORT WORTH, TX 76103-3836
(817) 413-0943
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00377R
BLUE CROSS BLUE SHIELD
TX
05
—
170661602
—
TX
01
—
DD6278
MEDICARE RAILROAD
TX
Enumeration date
01/25/2006
Last updated
05/26/2015
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