Provider Demographics
NPI:1306098223
Name:SURGICAL WEIGHTLOSS SPECIALISTS
Entity type:Organization
Organization Name:SURGICAL WEIGHTLOSS SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FELIX
Authorized Official - Middle Name:
Authorized Official - Last Name:SPIEGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-960-0006
Mailing Address - Street 1:5373 W ALABAMA ST STE 121
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-5932
Mailing Address - Country:US
Mailing Address - Phone:713-960-0003
Mailing Address - Fax:
Practice Address - Street 1:5373 W ALABAMA ST STE 121
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-5932
Practice Address - Country:US
Practice Address - Phone:713-960-0003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FELIX SPIEGEL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-10-22
Last Update Date:2008-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL2673174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1023168044OtherNPI
1164522231OtherNPI