Alliance Medical Weight Loss Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

K5446 Issued in UT

Legal business name

ALLIANCE MEDICAL WEIGHT LOSS CLINIC

Practice address

2700 Western Center Blvd
Suite 100
Fort Worth, TX 76131-4300

Phone

(817) 306-9494

Fax

(817) 306-9093

NPI assigned

Oct 29, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Michael L Bailey, D.O.

Title

Owner

Phone

(817) 306-9494

Specialties & licenses 1

Addresses

Other names 1

• Alliance Medical Spa Doing business as

Locations

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351468800000",
    "number": "1902150022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 WESTERN CENTER BLVD",
            "address_2": "SUITE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761314300",
            "telephone_number": "817-306-9494",
            "fax_number": "817-306-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 WESTERN CENTER BLVD",
            "address_2": "SUITE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761314300",
            "telephone_number": "817-306-9494",
            "fax_number": "817-306-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE MEDICAL WEIGHT LOSS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-29",
        "last_updated": "2012-10-29",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-306-9494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "K5446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alliance Medical Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alliance Diagnostic Imaging LLC
• Alliance Group Health, LLC
• Alliance Health & Wellness Center PLLC
• Alliance Heritage Trace PLLC
• Alliance Kids Care
• Alliance Network
• Alliance Ophthalmology, PLLC
• Alliance Oral & Maxillofacial Surgery, P.a.
• Alliance Pharmacy LLC
• Alliance Primary Care Assoc PLLC

• Family Medicine Physician in Fort Worth, TX
• Providers in Fort Worth, 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 Oct 29, 2012; 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.