| NPI | 1609230721 |
|---|---|
| Doing Business As | MEDI WEIGHTLOSS CLINIC SAN ANTONIO |
| Entity Type | Organization |
| Authorized Contact | THOMAS K WILLETT Managing Member 813-225-1051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2016-04-06 |