LE REVE ANTI-AGING AND WEIGHT LOSS CENTER (NPI# 1770947160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770947160 |
| Entity Type | Organization |
| Organization Name | LE REVE ANTI-AGING AND WEIGHT LOSS CENTER |
| Practice Address |
7000 Bryant Irvin Rd Ste 108 Fort Worth TX 76132-4250 |
| Practice Telephone | 6827031400 |
| Practice Fax Number | 8178875779 |
| Mailing Telephone | 6827031400 |
| Mailing Fax Number | 8178875779 |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2016-04-11 |
| Authorized Official Name | JASON TINLEY (PRINCIPAL) |
| Authorized Official Telephone | 6827031400 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QC1800X |
Clinic/Center Specialization: Corporate Health |
Ambulatory Health Care Facilities | ||
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
7000 BRYANT IRVIN RD STE 108 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76132-4250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942428024 | Faith Ashley Stewart | Dermatology | 7000 Bryant Irvin Rd, Ste 100, Fort Worth, TX 76132-4251 | 2007-04-23 |
| 1932582111 | Stewart Dermatology, Pllc | Dermatology | 7000 Bryant Irvin Rd, Fort Worth, TX 76132-4250 | 2015-07-07 |
| 1639551781 | Richardson Dermatology, Pllc | Dermatology | 7000 Bryant Irvin Rd, Fort Worth, TX 76132-4250 | 2015-06-25 |
| 1740480177 | Steven Jay Richardson | Dermatology | 7000 Bryant Irvin Rd, Suite 100, Fort Worth, TX 76132-4250 | 2007-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669843 | Rubilene Spinks | Pharmacist | 6300 Oakmount Blvd, Fort Worth, TX 76132 | 2020-11-03 |
| 1942839113 | Fort Physicians & Professionals Pllc | Psychiatry & Neurology | 7140 Oakmont Boulevard, Fort Worth, TX 76132 | 2020-04-08 |
| 1134781792 | Daniel Max & Marcandrea LLC | Optometrist | 4619 S Hulen St, Suite C, Fort Worth, TX 76132 | 2019-07-03 |
| 1568029320 | Ty Desilets | Physical Therapist | 5959 Bryant Irvin Rd Suite 100, Fort Worth, TX 76132 | 2019-05-28 |
| 1750844049 | Fort Worth Surgical Center Lp | Clinic/Center | 6949 Bryant Irvin Road, Fort Worth, TX 76132 | 2019-04-12 |
| 1063971232 | Symetria Health of Texas, LLC | Clinic/Center | 7299 Hawkins View Drive, Fort Worth, TX 76132 | 2019-03-18 |
| 1275015612 | Falguni Udayan Patel | Nurse Practitioner | 6100 Harris Pkwy Ste 1230, Fort Worth, TX 76132 | 2018-09-02 |
| 1881110161 | Because De Cares | Private Vehicle | 7101 Bryant Irving Road #33104, Fort Worth, TX 76132 | 2017-08-17 |
| 1871045708 | Cns - F.w., LLC | Clinic/Center | 6940 Harris Parkway, Fort Worth, TX 76132 | 2016-10-26 |
| 1790233294 | Prime Diagnostic Imaging of Fort Worth, LLC | Clinic/Center | 6491 Southwest Blvd., Benbrook, TX 76132 | 2016-09-14 |
| Find all providers in zip 76132 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851896849 | Mercy Mobile Care Pllc | Clinic/Center | 6825 Bayline Dr Apt 9102, Fort Worth, TX 76133-4975 | 2018-03-29 |
| 1285087775 | Health 2 Go | Clinic/Center | 4229 Bridgestone Dr, Fort Worth, TX 76123-8006 | 2016-07-20 |
| 1104218619 | Dr. Ankit Patel P.a. | Clinic/Center | 3825 E Belknap St, Fort Worth, TX 76111-6020 | 2015-02-21 |
| 1871985499 | Beyond The Veil | Clinic/Center | 7724 Marble Canyon Dr, Fort Worth, TX 76137-4156 | 2015-02-19 |
| 1750785705 | Legacy Neurology & Sleep of North Texas | Clinic/Center | 10369 Bradshaw Dr, Fort Worth, TX 76108-6990 | 2014-10-20 |
| 1295157030 | Beaty Business Spendthrift Trust | Clinic/Center | 1605 Clover Ln, Fort Worth, TX 76107-3902 | 2014-01-14 |
| 1093050940 | Fyatt Healthcare | Clinic/Center | 1608 Windsong Trl, 615, Fort Worth, TX 76120-4223 | 2012-12-04 |
| 1629227673 | Concentra Health Services, Inc. | Clinic/Center | 2500 West Fwy., Suite 100, Fort Worth, TX 76102-5848 | 2008-09-15 |
| 1649457896 | Channing Enterprise Inc | Clinic/Center | 1009 Baker St, Fort Worth, TX 76104-7211 | 2008-01-29 |
| 1528259322 | Md Pain Clinic, Inc. | Clinic/Center | 2406 W Seminary Dr, Fort Worth, TX 76115-1917 | 2007-08-06 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76132 |
Please comment or provide details below to improve the information on LE REVE ANTI-AGING AND WEIGHT LOSS CENTER.
| 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.