# SAN ANTONIO WEIGHTLOSS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medi Weightloss Clinic San Antonio
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609230721
- **Authorized official:** THOMAS K WILLETT (MANAGING MEMBER)
- **Authorized official phone:** (813) 225-1051

## Contact information

- **Practice address:** 11703 HUEBNER RD, SUITE 100, SAN ANTONIO, TX 78230-1201
- **Practice address phone:** (210) 697-9500
- **Mailing address:** 412 E MADISON ST, SUITE 1100, TAMPA, FL 33602-4601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/06/2016
- **Last updated:** 04/06/2016