Provider Demographics
NPI:1962806869
Name:A NEW WEIGH CENTER CORP
Entity type:Organization
Organization Name:A NEW WEIGH CENTER CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDITOR
Authorized Official - Prefix:
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:D
Authorized Official - Last Name:HAYWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:CRFA, CFE
Authorized Official - Phone:682-708-4101
Mailing Address - Street 1:306 E RANDOL MILL RD STE 136
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76011-5841
Mailing Address - Country:US
Mailing Address - Phone:682-708-4100
Mailing Address - Fax:682-292-1266
Practice Address - Street 1:306 E RANDOL MILL RD STE 136
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76011-5841
Practice Address - Country:US
Practice Address - Phone:682-708-4101
Practice Address - Fax:682-292-1266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-21
Last Update Date:2014-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP3167174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty