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Organization

MEDI WEIGHTLOSS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
IVY CASTILLO (MANAGER)
(817) 375-0537
Entity
Organization

Contact information

Practice address
4000 FIVE POINTS BLVD., SUITE 169, ARLINGTON, TX 76018
(817) 375-0537
Mailing address
4000 FIVE POINTS BLVD., SUITE 169, ARLINGTON, TX 76018
(817) 375-0537

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
AP131658
TX

Other

Enumeration date
11/04/2016
Last updated
11/04/2016
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