Organization
DOCTORS WEIGHT LOSS CENTER & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ADYS MIRABAL VICE PRESIDENT (MANAGING PARNER)
(512) 782-2084
Entity
Organization
Contact information
Practice address
11215 S INTERSTATE 35, SUITE 114, AUSTIN, TX 78747-1863
(512) 782-2084
(512) 782-2088
Mailing address
11215 S INTERSTATE 35, SUITE 114, AUSTIN, TX 78747-1863
(512) 782-2084
(512) 782-2088
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
736533
TX
Other
Enumeration date
07/05/2013
Last updated
07/05/2013
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