NPI 1083088686

Anew Weigh Surgical and Wellness

Organisation Exclusive Provider Organization Keller, TX

Practice location

Address: 8865 Davis Blvd STE a, Keller, TX 76248-0322
Phone: (817) 431-1059
Fax: (817) 431-1567
Mailing address: PO Box 1263, Keller, TX 76244-1263

Authorised official

Name: Franchell Richard Hamilton
Title: Owner
Phone: (817) 431-1059

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence P3167 (TX)

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Registry record

NPI: 1083088686
Entity type: Organization
NPI issued: 19 Nov 2015
Record last updated: 19 Nov 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.