CORPUS CHRISTI WEIGHTLOSS LLC


Address: 5402 Holly Rd, Suite 102, Corpus Christi, TX 78411-4645
Phone: 3619931221

CORPUS CHRISTI WEIGHTLOSS LLC (NPI# 1396109419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396109419
Entity Type Organization
Organization Name CORPUS CHRISTI WEIGHTLOSS LLC
Other Organization Name MEDI WEIGHTLOSS CORPUS CHRISTI
Practice Address 5402 Holly Rd
Suite 102
Corpus Christi
TX 78411-4645
Mailing Address 412 E Madison St
Suite 1100
Tampa
FL 33602-4601
Practice Telephone 3619931221
Enumeration Date 2016-04-06
Last Update Date 2016-04-06
Authorized Official Name THOMAS K WILLETT (MANAGING MEMBER)
Authorized Official Telephone 8132251051
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QB0002X Family Medicine
Specialization: Obesity Medicine
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Medi Weightloss Corpus Christi Doing Business As Name - Organization

Office Location

Street Address 5402 HOLLY RD
SUITE 102
City CORPUS CHRISTI
State TX
Zip Code 78411-4645

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811989338 Burton A Kittay Psychologist 5402 Holly Rd, Ste 104, Corpus Christi, TX 78411-4674 2005-08-19
1417414434 Meredith Garcia Behavior Technician 5402 Holly Rd, Corpus Christi, TX 78411-4645 2019-02-26
1902376056 Sarah Estrada Behavioral Analyst 5402 Holly Rd, Corpus Christi, TX 78411-4645 2018-12-03
1811464464 Ines Medrano Behavior Technician 5402 Holly Rd, Corpus Christi, TX 78411-4645 2018-10-31
1770989493 Patricia Garcia Counselor 5402 Holly Rd, Suite 104, Corpus Christi, TX 78411-4645 2014-11-06
1376893925 Certified Sleep Medicine Diagnostic Center LLC Clinic/Center 5402 Holly Rd, Suite 2102, Corpus Christi, TX 78411-4673 2012-09-11
1487942140 Apsp-corpus Christi, LLC Clinical Medical Laboratory 5402 Holly Rd, Suite 2102, Corpus Christi, TX 78411 2011-07-15
1477851970 Wellmed Medical Group, P.a. Internal Medicine 5402 Holly Rd, Suite 102, Corpus Christi, TX 78411-4645 2011-03-08
1194892802 Easy Touch Inc. Clinic/Center 5402 Holly Rd, Suite 2102, Corpus Christi, TX 78411-4635 2006-11-29
1326055781 Thomas James Teenier Dentist 5402 Holly Rd, Bld 3, Suite 302, Corpus Christi, TX 78411-4645 2006-08-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487216032 Robert W. Galbreath Family Medicine 3515 S Alameda St, Corpus Christi, TX 78411 2019-07-03
1669952313 Maranda Deleon Physical Therapy Assistant 4406 Stonegate Way, Corpus Christi, TX 78411 2018-08-21
1730675257 Cns Diagnostics Incorporated Specialist/Technologist, Other 5262 South Staples, Ste. 211, Corpus Christi, TX 78411 2018-07-09
1750828257 Kerr Technical Services, LLC Technician 5262 S. Staples St., Suite 220, Corpus Christi, TX 78411 2017-01-23
1700337862 Rebekah Welty Audiologist 3533 Alameda St, Corpus Christi, TX 78411 2016-10-24
1518330059 Lilo Burda Counselor 321 Texan Trl Ste 220, Corpus Christi, TX 78411 2015-11-05
1730557182 Amy Luu Q.a. Mai Optometrist 5488 S. Padre Island Drive, Suite 2042, Corpus Christi, TX 78411 2015-09-02
1487030417 Luis Fuentes IIi General Practice 4818 Holly Rd Ste A, Corpus Christi, TX 78411 2015-07-31
1427430859 Saguaro Anesthesia Associates, P.a. Specialist 4646 Corona Drive Suite #256, Corpus Christi, TX 78411 2015-06-22
1306224605 Bonnie Lee Braglia Lpc-s,lmft,ccdvc Community/Behavioral Health 4659 Everhart Rd. Suite 109, Corpus Christi, TX 78411 2015-05-07
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Taxonomy Information

Taxonomy Code 207QB0002X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Obesity Medicine

Taxonomy Definition

A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.
Notes: Source: American Board of Obesity Medicine, www.abom.org [7/1/2015: title and definition modified] Additional Resource: American Society of Bariatric Physicians, www.asbp.org.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1821553454 Lonestar Weightloss Family Medicine 5700 Tennyson Pkwy Ste 350, Plano, TX 75024-7249 2019-02-07
1184106510 Reshaped Pllc Family Medicine 2008 E Hebron Pkwy #114, Carrollton, TX 75007 2018-09-01
1851803373 Paris Wellness Center & Medical Spa Family Medicine 1122 E. Austin St., Paris, TX 75460 2017-10-25
1629455613 Drwlc3 LLC Family Medicine 24200 Ih-10 West, Suite107, Sa, TX 78257 2015-04-29
1710364708 Drwlc1 Family Medicine 5539 N W Loop 1604, Suite 104, San Antonio, TX 78253-1708 2015-04-29
1598044414 Sleiman Weight Loss Centers Pa Family Medicine 7901 Cameron Rd Bldg 3, Suite 105, Austin, TX 78754 2011-08-09
1447404975 Joseph Sleiman, Md Pa Family Medicine 8221 Gulf Freeway, Suite 400, Houston, TX 77017 2008-11-11
1861641003 David W. Hobson, Md, Pa Family Medicine 1314 Grand River Dr, Richmond, TX 77406-1891 2008-09-11
1295901031 Glen Holliday Family Medicine 10302 Cecile Dr, Frisco, TX 75035-8186 2008-05-01
1871785337 Larry Alan Richardson Family Medicine 1230 Rayford Bnd Ste 100, Spring, TX 77386 2007-08-17
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Competitor

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City CORPUS CHRISTI
Zip Code 78411

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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