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SOUTHLAKE WEIGHT LOSS LLC NPI 1710342241


NPI Information

NPI: 1710342241
Provider Name: SOUTHLAKE WEIGHT LOSS, LLC

Doing Business As: MEDI-WEIGHTLOSS CLINICS

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
601 E SOUTHLAKE BLVD
SUITE 200
SOUTHLAKE, TX
ZIP 76092
Phone: (817) 488-1956
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SOUTHLAKE WEIGHT LOSS, LLC is a family medicine in Southlake, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SOUTHLAKE WEIGHT LOSS, LLC NPI is 1710342241. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Medi-weightloss Clinics.

The provider's business location address is:

601 E SOUTHLAKE BLVD
SUITE 200
SOUTHLAKE, TX
ZIP 76092-251
Phone: (817) 488-1956
Fax: (817) 488-8675

The provider's authorized official is Stephen Joel Oren .
The authorized official title is Managing Member and has the following contact phone number (817) 271-4154.

The enumeration date for this NPI number is 12/29/2015 and was last updated on 12/29/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineE4781TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11558612325OTHERTEXASNPI
21215094933OTHERTEXASNPI
31871868232OTHERTEXASNPI
41376654988OTHERTEXASNPI
51740308923OTHERTEXASNPI
61043277221OTHERTEXASNPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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