| Organization Name: | MEDICAL WEIGHT LOSS CENTERS LLC |
| NPI Number: | 1033511001 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES A BRIGGS (OWNER) |
| Mailing Address: | 12205 Dorsett Rd Maryland Heights |
| State: | MO US |
| Postal Code: | 630432407 |
| Phone Number: | 3147551555 |
| Fax Number: | 3147551558 |
| NPI Enumeration Date: | 09/22/2014 |
| NPI Last Update Date: | 09/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 302R00000X |
| License Number: | LC13060502 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Managed Care Organizations |
| Taxonomy Classification: | Health Maintenance Organization |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |