Organization Active NPI

Medical Weight Management & Rehab

  • Internal Medicine Physician
  • Mesquite, TX
National Provider Identifier
1043764954
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MEDICAL WEIGHT MANAGEMENT & REHAB
Practice address
2620 Gus Thomasson Rd Ste 116
Mesquite, TX 75150-5348
Phone
(817) 601-9737
NPI assigned
Aug 9, 2016
Last updated
May 4, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David Windor
Title
Ceo
Phone
(214) 812-9755

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

2620 Gus Thomasson Rd Ste 116
Mesquite, TX 75150-5348

Mailing address

2620 Gus Thomasson Rd Ste 116
Mesquite, TX 75150-5348

National Provider Directory

National Provider Directory

Locations

2620 Gus Thomasson Rd
Ste 116
Mesquite, TX 75150
Phone (817) 601-9737

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493856000000",
    "number": "1043764954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 GUS THOMASSON RD STE 116",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751505348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 GUS THOMASSON RD STE 116",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751505348",
            "telephone_number": "817-601-9737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL WEIGHT MANAGEMENT & REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-09",
        "last_updated": "2017-05-04",
        "status": "A",
        "authorized_official_last_name": "WINDOR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-812-9755"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.