Active NPI
Medical Weight Management & Rehab
- Internal Medicine Physician
- Mesquite, TX
National Provider Identifier
1043764954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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, 2017
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Family Nurse Practitioner | 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 DirectoryLocations
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
- Medical Edge Healthcare Group PA (Mesquite Family Physicians)
- Medical Edge Healthcare Group PA (Steven Cohen MD)
- Medical Edge Healthcare Group PA (Town East Diagnostic and Therapy Center)
- Medical Edge Healthcare Group, PA (Charles D Mitchell MD PA)
- Medical Specialty Group PLLC
- Medicine Shoppe
- Daisy Medina
- Megastar Home Health Services, Inc. (Cater 2 You Home Health Care)
- Jessica Mei
- Nader Samir Mekhael
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.