Provider Demographics
NPI:1376842427
Name:WORTHY WEIGHT LOSS
Entity Type:Organization
Organization Name:WORTHY WEIGHT LOSS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:OBINNA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHUKWUOCHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-818-8800
Mailing Address - Street 1:5400 W PLANO PKWY
Mailing Address - Street 2:SUITE 230
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-4852
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5400 W PLANO PKWY
Practice Address - Street 2:SUITE 230
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-4852
Practice Address - Country:US
Practice Address - Phone:972-818-8800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-15
Last Update Date:2011-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty