Organization
NEW LIFE BARIATRIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LU ANN WELDON (ADMINISTRATOR)
(806) 381-1155
Entity
Organization
Contact information
Practice address
1911 PORT LN, AMARILLO, TX 79106-2470
(806) 331-6293
(806) 331-6295
Mailing address
1911 PORT LN, AMARILLO, TX 79106-2470
(806) 331-6293
(806) 331-6295
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
41702
TX
2086S0102X
Surgical Critical Care Physician
41702
TX
Other
Enumeration date
01/23/2008
Last updated
01/23/2008
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