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Organization

ALLIANCE MEDICAL WEIGHT LOSS CLINIC

Active
Other names
Alliance Medical Spa
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL L BAILEY D.O. (OWNER)
(817) 306-9494
Entity
Organization

Contact information

Practice address
2700 WESTERN CENTER BLVD, SUITE 100, FORT WORTH, TX 76131-4300
(817) 306-9494
(817) 306-9093
Mailing address
2700 WESTERN CENTER BLVD, SUITE 100, FORT WORTH, TX 76131-4300
(817) 306-9494
(817) 306-9093

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K5446
UT

Other

Enumeration date
10/29/2012
Last updated
10/29/2012
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