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Contact Information

ELEMENTAL WEIGHT LOSS CLINIC
9150 HUEBNER RD
STE 160
SAN ANTONIO, TX78240-1558
 Phone: 210-960-2639
 Fax: 210-845-1832
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obesity Medicine

2083B0002X 84 Physician/Preventive Medicine
 

Primary Care

261QP2300X
Indicates primary specialty

NPI Profile & details for ELEMENTAL WEIGHT LOSS CLINIC

NPI # 1285084939
LBN Legal business name ELEMENTAL WEIGHT LOSS CLINIC
Authorized official MEGAN WILLIAMS KHMELEV - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/14/2016
Last updated 12/30/2016 - About 9 years ago
Identifiers
TX License # N1222
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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