Alliance Medical Weight Loss Clinic | |
2700 Western Center Blvd Suite 100 Fort Worth TX 76131-4300 | |
(817) 306-9494 | |
(817) 306-9093 |
Full Name | Alliance Medical Weight Loss Clinic |
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Speciality | Family Medicine |
Location | 2700 Western Center Blvd, Fort Worth, Texas |
Authorized Official Name and Position | Michael L Bailey (OWNER) |
Authorized Official Contact | 8173069494 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Alliance Medical Weight Loss Clinic 2700 Western Center Blvd Suite 100 Fort Worth TX 76131-4300 Ph: (817) 306-9494 | Alliance Medical Weight Loss Clinic 2700 Western Center Blvd Suite 100 Fort Worth TX 76131-4300 Ph: (817) 306-9494 |
NPI Number | 1902150022 |
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Provider Enumeration Date | 10/29/2012 |
Last Update Date | 10/29/2012 |
Identifier | Type | State | Issuer |
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1902150022 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | K5446 (Utah) | Primary |
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