Organization
LAPAROSCOPY BARIATRICS & SURGERY PA
Active
Other names
Ultimate Bariatrics
Organization subpart
No
Provider details
NPI number
Authorized official
MYLA R PLENERT (OFFICE MANAGER)
(817) 916-4699
Entity
Organization
Contact information
Practice address
2501 PARKVIEW DR, SUITE 560, FORT WORTH, TX 76102-5824
(817) 850-1100
(817) 870-2553
Mailing address
2501 PARKVIEW DR, SUITE 560, FORT WORTH, TX 76102-5824
(817) 850-1100
(817) 850-1104
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
H7229
TX
Other
Enumeration date
08/04/2006
Last updated
11/17/2016
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