Provider Demographics
NPI:1497227888
Name:MEDICAL WEIGHT MANAGEMENT INTERNAL MEDICINE
Entity Type:Organization
Organization Name:MEDICAL WEIGHT MANAGEMENT INTERNAL MEDICINE
Other - Org Name:PHYSICIANS OF MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:KURT
Authorized Official - Middle Name:
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-551-0308
Mailing Address - Street 1:6841 VIRGINIA PKWY STE 103-347
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-5710
Mailing Address - Country:US
Mailing Address - Phone:214-551-0308
Mailing Address - Fax:469-343-1285
Practice Address - Street 1:7300 ELDORADO PKWY STE 200
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-7896
Practice Address - Country:US
Practice Address - Phone:214-551-0308
Practice Address - Fax:855-291-0972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-22
Last Update Date:2022-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RB0002XAllopathic & Osteopathic PhysiciansInternal MedicineObesity MedicineGroup - Single Specialty