# SAN ANTONIO WEIGHTLOSS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316477821
- **Authorized official:** TOM WILLETT (OWNER)
- **Authorized official phone:** (813) 225-1051

## Contact information

- **Practice address:** 11212 STATE HIGHWAY 151 STE 210, SAN ANTONIO, TX 78251-4501
- **Practice address phone:** (813) 225-1051
- **Practice address fax:** (813) 224-0610
- **Mailing address:** 11212 STATE HIGHWAY 151 STE 210, SAN ANTONIO, TX 78251-4501
- **Mailing address phone:** (813) 225-1051
- **Mailing address fax:** (813) 224-0610

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/16/2017
- **Last updated:** 07/21/2022