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General NPI Number Information
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NPI Number | 1497227888
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Entity Type | Organization
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Legal Business Name | MEDICAL WEIGHT MANAGEMENT INTERNAL MEDICINE
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Dates
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Enumeration Date | 12/22/2018
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Last Update Date | 12/10/2022
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Provider Practice Location Address
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Address Line | 7300 ELDORADO PKWY STE 200
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City | MCKINNEY
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State | TX
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Zip | 75070-7896
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Country | US
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Telephone | 214-551-0308
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Fax | 855-291-0972
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Provider Business Mailing Address
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Address Line | 6841 VIRGINIA PKWY STE 103-347
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City | MCKINNEY
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State | TX
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Zip | 75071-5710
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Country | US
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Telephone | 214-551-0308
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Fax | 469-343-1285
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. KURT REYES
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Credential | MD
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Telephone | 214-551-0308
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RB0002X
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Taxonomy Name | Obesity Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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