| Medi -weightloss | |
|
3500 Victory Group Way Suite #300 Frisco TX 75034 | |
| (214) 641-0518 | |
| Not Available |
| Full Name | Medi -weightloss |
|---|---|
| Speciality | Internal Medicine |
| Location | 3500 Victory Group Way, Frisco, Texas |
| Authorized Official Name and Position | Mark More (AUTHORIZED OFFIICIAL) |
| Authorized Official Contact | 2146410518 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medi -weightloss 4657 Pony Ct Carrollton TX 75010-4979 Ph: (214) 641-0518 | Medi -weightloss 3500 Victory Group Way Suite #300 Frisco TX 75034 Ph: (214) 641-0518 |
| NPI Number | 1184124927 |
|---|---|
| Provider Enumeration Date | 02/19/2018 |
| Last Update Date | 02/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184124927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | Q1900 (Texas) | Primary |
| 207RB0002X | Internal Medicine - Obesity Medicine | Q1900 (Texas) | Secondary |
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