| Medi-weightloss Clinics | |
|
601 E Southlake Blvd Suite 200 Southlake TX 76092-6251 | |
| (817) 488-1956 | |
| (817) 488-8675 |
| Full Name | Medi-weightloss Clinics |
|---|---|
| Speciality | Family Medicine |
| Location | 601 E Southlake Blvd, Southlake, Texas |
| Authorized Official Name and Position | Stephen Joel Oren (MANAGING MEMBER) |
| Authorized Official Contact | 8172714154 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medi-weightloss Clinics 2050 Shady Oaks Dr Southlake TX 76092-3510 Ph: (817) 271-4154 | Medi-weightloss Clinics 601 E Southlake Blvd Suite 200 Southlake TX 76092-6251 Ph: (817) 488-1956 |
| NPI Number | 1710342241 |
|---|---|
| Provider Enumeration Date | 12/29/2015 |
| Last Update Date | 12/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710342241 | NPI | - | NPPES |
| 1043277221 | Other | TX | NPI |
| 1871868232 | Other | TX | NPI |
| 1558612325 | Other | TX | NPI |
| 1740308923 | Other | TX | NPI |
| 1376654988 | Other | TX | NPI |
| 1215094933 | Other | TX | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E4781 (Texas) | Primary |
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