Provider Demographics
NPI:1083088686
Name:ANEW WEIGH SURGICAL AND WELLNESS
Entity Type:Organization
Organization Name:ANEW WEIGH SURGICAL AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCHELL
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-431-1059
Mailing Address - Street 1:PO BOX 1263
Mailing Address - Street 2:
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76244-1263
Mailing Address - Country:US
Mailing Address - Phone:817-431-1059
Mailing Address - Fax:817-431-1567
Practice Address - Street 1:8865 DAVIS BLVD STE A
Practice Address - Street 2:
Practice Address - City:KELLER
Practice Address - State:TX
Practice Address - Zip Code:76248-0322
Practice Address - Country:US
Practice Address - Phone:817-431-1059
Practice Address - Fax:817-431-1567
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-19
Last Update Date:2015-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP3167302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization