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Organization
SKINNY FOX WEIGHT LOSS & MEDICAL CLINIC, LLC.
Active
Organization
SKINNY FOX WEIGHT LOSS & MEDICAL CLINIC, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA DIANN HART FNP-C (OWNER/NURSE PRACTITIONER)
(870) 773-1111
Entity
Organization
Contact information
Practice address
422 BEECH ST, TEXARKANA, AR 71854-5310
(870) 773-1111
(870) 772-1354
Mailing address
422 BEECH ST, TEXARKANA, AR 71854-5310
(870) 773-1111
(870) 772-1354
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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