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Organization
VITAL WELLNESS & WEIGHT LOSS P.A.
Active
Organization
VITAL WELLNESS & WEIGHT LOSS P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE W CAVENEE M.D. (CO-OWNER)
(214) 769-2398
Entity
Organization
Contact information
Practice address
18800 PRESTON RD, SUITE 310, DALLAS, TX 75252-2449
(972) 985-5511
Mailing address
5128 CORINTHIAN BAY DR, PLANO, TX 75093-4001
Taxonomy
Speciality
Code
Description
License number
State
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
H6104
TX
Other
Enumeration date
04/17/2014
Last updated
04/17/2014
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