| Southlake Weight Loss, Llc | |
|
601 E Southlake Blvd Suite 200 Southlake TX 76092-6251 | |
| (817) 488-1956 | |
| (817) 488-8675 |
| Full Name | Southlake Weight Loss, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 601 E Southlake Blvd, Southlake, Texas |
| Authorized Official Name and Position | Stephen Joel Oren (MANAGING MEMBER) |
| Authorized Official Contact | 8172714154 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southlake Weight Loss, Llc 2050 Shady Oaks Dr Southlake TX 76092-3510 Ph: (817) 271-4154 | Southlake Weight Loss, Llc 601 E Southlake Blvd Suite 200 Southlake TX 76092-6251 Ph: (817) 488-1956 |
| NPI Number | 1710342241 |
|---|---|
| Provider Enumeration Date | 12/29/2015 |
| Last Update Date | 12/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710342241 | NPI | - | NPPES |
| 1043277221 | Other | TX | NPI |
| 1871868232 | Other | TX | NPI |
| 1558612325 | Other | TX | NPI |
| 1740308923 | Other | TX | NPI |
| 1376654988 | Other | TX | NPI |
| 1215094933 | Other | TX | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E4781 (Texas) | Primary |
Mediclink Management Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 E Southlake Blvd Ste 100, Southlake, TX 76092 Phone: 817-506-4132 | |
Health Matters Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 River Oaks Drive, #100, Southlake, TX 76092 Phone: 505-220-6814 | |
Southlake Hospitalists Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1321 Bay Meadows Dr, Southlake, TX 76092 Phone: 817-521-4747 Fax: 214-279-9273 | |
Rod Sosa Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2009 Woodbury Ct, Southlake, TX 76092 Phone: 972-352-0920 | |
Modern Medical House Calls Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 855 Davis Blvd Ste 500, Southlake, TX 76092 Phone: 817-912-1771 Fax: 940-241-6156 | |
Healthcare Associates Of Southlake Llp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2106 E State Highway 114, Ste 300, Southlake, TX 76092 Phone: 817-552-4300 | |
Melville Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1545 E Southlake Blvd Ste 110, Southlake, TX 76092 Phone: 817-600-8725 |