Provider Demographics
NPI:1598584518
Name:PRIORITY ONE WEGHT LOSS, PLLC
Entity type:Organization
Organization Name:PRIORITY ONE WEGHT LOSS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, NURSE PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BOWLIN
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, APRN, FNP-BC,
Authorized Official - Phone:972-849-2190
Mailing Address - Street 1:2201 SPINKS RD STE 230
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75022-4451
Mailing Address - Country:US
Mailing Address - Phone:972-849-2190
Mailing Address - Fax:972-573-0103
Practice Address - Street 1:2201 SPINKS RD STE 230
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75022-4451
Practice Address - Country:US
Practice Address - Phone:972-849-2190
Practice Address - Fax:972-573-0103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-07
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty