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Organization
SAN ANTONIO WEIGHTLOSS LLC
Active
Organization
SAN ANTONIO WEIGHTLOSS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOM WILLETT (OWNER)
(813) 225-1051
Entity
Organization
Contact information
Practice address
11212 STATE HIGHWAY 151 STE 210, SAN ANTONIO, TX 78251-4501
(813) 225-1051
(813) 224-0610
Mailing address
11212 STATE HIGHWAY 151 STE 210, SAN ANTONIO, TX 78251-4501
(813) 225-1051
(813) 224-0610
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/16/2017
Last updated
07/21/2022
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