MEDICARE: OPTIMAL WEIGHT LOSS AND SURGERY CONSULTANTS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician

General Provider Information

NPI Number	:	1457107765
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPTIMAL WEIGHT LOSS AND SURGERY CONSULTANTS LLC

Provider Business Mailing Address
First Line	:	12606 GREENVILLE AVE STE 205
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75243-1927
Country	:	US
Telephone Number	:	214-971-8802
Fax Number	:	949-703-7227

Provider Business Practice Location Address
First Line	:	12606 GREENVILLE AVE STE 205
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75243-1927
Country	:	US
Telephone Number	:	214-971-8802
Fax Number	:	949-703-7227

Authorized Official
Title or Position	:	BUSINESS OWNER
Name	:	DR. TARIK AL-KALLA
Credential	:	MD
Telephone Number	:	281-650-7144

Provider Enumeration Date	:	04/26/2024
Last Update Date	:	09/11/2024

Similar Medicare Providers

1760726418 — TARIK AL-KALLA M.D.
Practice Location Address:

12606 GREENVILLE AVE STE 205
DALLAS, TX
75243-1927

Practice Phone: 214-971-8802
Practice Fax: 949-703-7227

1770022469 — SWELLING TREATMENT CENTER, LLC
Practice Location Address:

12606 GREENVILLE AVE STE 205
DALLAS, TX
75243-1927

Practice Phone: 214-613-2345
Practice Fax:

1518495621 — AMANDA POE OT
Practice Location Address:

12606 GREENVILLE AVE STE 205
DALLAS, TX
75243-1927

Practice Phone: 214-614-2345
Practice Fax:

1588173058 — MS. ALLISON ELIZABETH GEDEON OTR, CLT
Practice Location Address:

12606 GREENVILLE AVE STE 205
DALLAS, TX
75243-1927

Practice Phone: 214-613-2345
Practice Fax:

1467595827 — TURTLE CREEK MANOR, INC.
Practice Location Address:

2707 ROUTH ST
DALLAS, TX
75201-1927

Practice Phone: 214-871-2483
Practice Fax: 214-871-3042

1184826539 — ROBYN GRAY P.T.
Practice Location Address:

1755 WITTINGTON PL STE 175
DALLAS, TX
75234-1927

Practice Phone: 214-442-4210
Practice Fax:

Directions to “OPTIMAL WEIGHT LOSS AND SURGERY CONSULTANTS LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.