PHOENIX THERA-LASE SYSTEMS, LLC.


Address: 5454 La Sierra Drive, Suite 203, Dallas, TX 75231-2346
Phone: 4965673959

PHOENIX THERA-LASE SYSTEMS, LLC. (NPI# 1437495934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437495934
Entity Type Organization
Organization Name PHOENIX THERA-LASE SYSTEMS, LLC.
Practice Address 5454 La Sierra Drive
Suite 203
Dallas
TX 75231-2346
Practice Telephone 4965673959
Mailing Telephone 4695673959
Enumeration Date 2013-01-02
Last Update Date 2014-03-14
Authorized Official Name DAVID POWER (PRESIDENT AND COO)
Authorized Official Telephone 2148904054
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246Z00000X Specialist/Technologist, Other Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 5454 LA SIERRA DRIVE
SUITE 203
City DALLAS
State TX
Zip Code 75231-2346

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1760964100 Amber Nicole Caruthers Nurse Practitioner 8060 Park Lane, Dallas, TX 75231 2018-09-01
1376024893 Brittany Leigh Stedman Physical Therapist 8130 Meadow Rd, Dallas, TX 75231 2018-08-23
1700367224 Tia Cornelius Occupational Therapy Assistant 8130 Meadow Rd., Dallas, TX 75231 2018-08-23
1538653753 Manju R. Goyal M.d. Psychiatry Pllc Psychiatry & Neurology 5477 Glen Lakes Dr Ste 210, Dallas, TX 75231 2018-06-20
1497246813 Stacy Jo Thomas Counselor 10260 N Central Expy Ste 280, Dallas, TX 75231 2018-05-21
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Taxonomy Information

Taxonomy Code 246Z00000X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Specialist/Technologist, Other

Taxonomy Definition

General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1255821435 Axiom Health Services, LLC Specialist/Technologist, Other 5422 Alpha Rd, Dallas, TX 75240 2018-05-14
1538552799 Neurotechnology, LLC Specialist/Technologist, Other 6127 Luther Ln # 472, Dallas, TX 75225-6202 2015-03-12
1356406821 Sucessful Learning Strategies Specialist/Technologist, Other 3102 Maple Ave Ste 450, Dallas, TX 75201-1261 2006-12-26
1700367240 Zexu Jiao Specialist/Technologist, Other 5323 Harry Hines Blvd, Dallas, TX 75390-9032 2018-08-23
1659736908 Bison Heart, Pllc Specialist/Technologist, Other 17742 Preston Rd, Dallas, TX 75252-6199 2015-12-30
1861870081 Clayton Bates Specialist/Technologist, Other 3409 Worth St, Ste 725, Dallas, TX 75246-2029 2015-05-07
1578997987 Rodney Thompson Specialist/Technologist, Other 4300 Sigma Rd Ste 120, Dallas, TX 75244-4422 2013-08-22
1316121254 Hamid Ahmadi Md Pa Specialist/Technologist, Other 5820 Covehaven Dr, Dallas, TX 75252-5228 2007-12-27
1841316270 Thomas Kurt Wilkes Specialist/Technologist, Other 3409 Worth St, 725, Dallas, TX 75246-2029 2007-03-21
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Competitor

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City DALLAS
Zip Code 75231

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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