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Douglas Lyle Weier

Family Medicine

Allopathic & Osteopathic Physicians

1500 S Main St, Fort Worth, TX 76104-4917

PECOS Enrollment

This provider is enrolled in PECOS as DOUGLAS WEIER.

Based on the most recent information from CMS, provider Douglas Lyle Weier is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1063973709
Provider Type
Individual
Full Name
Weier, Douglas Lyle
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
3/26/2019
Last Updated
7/3/2023

Contact Information

Practice Location

1500 S Main St, Fort Worth, TX 76104-4917

(817) 702-1244

Unlisted Fax

Mailing Location

1500 S Main St, Fort Worth, TX 76104-4917

(817) 702-1244

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License U3378 Texas
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Douglas Lyle Weier

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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