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Organization
PARK CITIES WEIGHTLOSS CLINIC, LLC
Active
Organization
PARK CITIES WEIGHTLOSS CLINIC, LLC
Active
Other names
Medi-Weightloss Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN JOEL OREN (PRESIDENT)
(817) 271-4154
Entity
Organization
Contact information
Practice address
6170 SHERRY LN, SUITE 300, DALLAS, TX 75225-6350
(214) 253-0029
(214) 466-6806
Mailing address
2050 SHADY OAKS DR, SOUTHLAKE, TX 76092-3510
(817) 271-4154
(817) 697-1595
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M2243
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043277221
NPI
TX
01
—
1194771006
NPI
TX
01
—
1215094933
NPI
TX
01
—
1376654988
NPI
TX
01
—
1558612325
NPI
TX
01
—
1740308923
NPI
TX
Enumeration date
11/23/2015
Last updated
11/23/2015
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