LE REVE ANTI-AGING AND WEIGHT LOSS CENTER NPI 1770947160

NPI Information

NPI: 1770947160
Provider Name: LE REVE ANTI-AGING AND WEIGHT LOSS CENTER
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
7000 BRYANT IRVIN RD
STE 108
FORT WORTH, TX
ZIP 76132
Phone: (682) 703-1400
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LE REVE ANTI-AGING AND WEIGHT LOSS CENTER is a health service clinic center in Fort Worth, TX. LE REVE ANTI-AGING AND WEIGHT LOSS CENTER NPI is 1770947160. The provider is registered as an organization entity type.

The provider's business location address is:

7000 BRYANT IRVIN RD
STE 108
FORT WORTH, TX
ZIP 76132-250
Phone: (682) 703-1400
Fax: (817) 887-5779

The provider's authorized official is Jason Tinley .
The authorized official title is Principal and has the following contact phone number (682) 703-1400.

The enumeration date for this NPI number is 4/11/2016 and was last updated on 4/11/2016.

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	261QC1800X	Clinic/Center	Corporate Health			No
2	261QH0100X	Clinic/Center	Health Service			Yes

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: 11/14/2023

NPI Synchronization or Removal

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