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Organization

TAILORED WEIGHT LOSS, LLC

Active
Other names
Total Family Healthcare
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ANGELA NICOLE BLANKS RN, FNP-C (CEO/ FNP)
(979) 215-2309
Entity
Organization

Contact information

Practice address
135 OYSTER CREEK DR STE B, LAKE JACKSON, TX 77566-4119
(979) 215-2309
(844) 272-3168
Mailing address
135 OYSTER CREEK DR STE B, LAKE JACKSON, TX 77566-4119
(979) 215-2309
(844) 272-3168

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1396703310
NPI
TX
Enumeration date
12/18/2018
Last updated
09/25/2019
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