Park Cities Weightloss Clinic, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M2243 Issued in TX

Legal business name

PARK CITIES WEIGHTLOSS CLINIC, LLC

Doing business as

Medi-Weightloss Clinics

Practice address

6170 Sherry LN
Suite 300
Dallas, TX 75225-6350

Phone

(214) 253-0029

Fax

(214) 466-6806

NPI assigned

Nov 23, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Stephen Joel Oren

Title

President

Phone

(817) 271-4154

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Medi-Weightloss Clinics Doing business as

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

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448236800000",
    "number": "1841664208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 SHADY OAKS DR",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760923510",
            "telephone_number": "817-271-4154",
            "fax_number": "817-697-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6170 SHERRY LN",
            "address_2": "SUITE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752256350",
            "telephone_number": "214-253-0029",
            "fax_number": "214-466-6806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK CITIES WEIGHTLOSS CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-23",
        "last_updated": "2015-11-23",
        "status": "A",
        "authorized_official_last_name": "OREN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "JOEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-271-4154",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M2243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1376654988",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1215094933",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1043277221",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1740308923",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1558612325",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1194771006",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medi-Weightloss Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Park Cities Orthodontics PA
• Park Cities Pediatrics
• Park Cities Psychiatry, P.a.
• Park Cities Sleep Center, LLP
• Park Cities Speech, Language & Learning
• Park Cities Wellness Plus LLC
• Park Forest Eye Care, PLLC (First Eye Care Park Forest)
• Park Forest Optical LLC
• Park Infusioncare LP
• Park Infusioncare, LP

• Family Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; 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.