Provider Demographics
NPI:1588253678
Name:RJ MEDICAL SERVICES LLC
Entity type:Organization
Organization Name:RJ MEDICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALCANTAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-412-0792
Mailing Address - Street 1:5521 BELLAIRE DR S STE 200
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76109-5855
Mailing Address - Country:US
Mailing Address - Phone:469-281-1655
Mailing Address - Fax:888-500-6995
Practice Address - Street 1:1910 FORT WORTH HWY
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:TX
Practice Address - Zip Code:76086-4704
Practice Address - Country:US
Practice Address - Phone:817-210-6580
Practice Address - Fax:817-549-6266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-13
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty