Elite Weight Loss and Wellness Centers, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ELITE WEIGHT LOSS AND WELLNESS CENTERS, LLC

Practice address

4880 Boat Club Rd
Ste 120
Ft Worth, TX 76135-7030

Phone

(817) 238-2200

Fax

(888) 327-6410

NPI assigned

Oct 29, 2014

Organization subpart

No

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

Authorized official

Name

Charrissa Cawley

Title

Owner

Phone

(817) 238-2200

Specialties & licenses 1

Addresses

Other names 1

• Thinique Medical Weight Loss Doing business as

Locations

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414540800000",
    "number": "1154726420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4880 BOAT CLUB RD",
            "address_2": "STE 120",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761357030",
            "telephone_number": "817-238-2200",
            "fax_number": "888-327-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4880 BOAT CLUB RD",
            "address_2": "STE 120",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761357030",
            "telephone_number": "817-238-2200",
            "fax_number": "888-327-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE WEIGHT LOSS AND WELLNESS CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-29",
        "last_updated": "2014-10-29",
        "status": "A",
        "authorized_official_last_name": "CAWLEY",
        "authorized_official_first_name": "CHARRISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-238-2200"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thinique Medical Weight Loss",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Physician in Ft Worth, TX
• Providers in Ft Worth, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.