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Organization
CORPUS CHRISTI WEIGHTLOSS LLC
Active
Organization
CORPUS CHRISTI WEIGHTLOSS LLC
Active
Other names
Medi Weightloss Corpus Christi
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS K WILLETT (MANAGING MEMBER)
(813) 225-1051
Entity
Organization
Contact information
Practice address
5402 HOLLY RD, SUITE 102, CORPUS CHRISTI, TX 78411-4645
(361) 993-1221
Mailing address
412 E MADISON ST, SUITE 1100, TAMPA, FL 33602-4601
Taxonomy
Speciality
Code
Description
License number
State
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
—
NULL
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
04/06/2016
Last updated
04/06/2016
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