TAILORED WEIGHT LOSS LLC NPI 1881166791

NPI Information

NPI: 1881166791
Provider Name: TAILORED WEIGHT LOSS, LLC

Other Name: TOTAL FAMILY HEALTHCARE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
135 OYSTER CREEK DR STE B
LAKE JACKSON, TX
ZIP 77566
Phone: (979) 215-2309
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TAILORED WEIGHT LOSS, LLC is a primary care clinic center in Lake Jackson, TX. TAILORED WEIGHT LOSS, LLC NPI is 1881166791. The provider is registered as an organization entity type.
The provider Other Name Is Total Family Healthcare.

The provider's business location address is:

135 OYSTER CREEK DR STE B
LAKE JACKSON, TX
ZIP 77566-119
Phone: (979) 215-2309
Fax: (844) 272-3168

The provider's authorized official is Angela Nicole Blanks .
The authorized official title is Ceo/ Fnp and has the following contact phone number (979) 215-2309.

The enumeration date for this NPI number is 12/18/2018 and was last updated on 9/25/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1396703310	OTHER	TEXAS	NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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