Clinica de Las Varices Y Laser Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

E2992 Issued in TX

Legal business name

CLINICA DE LAS VARICES Y LASER INC.

Practice address

613 N O Connor Rd
Suite 27
Irving, TX 75061-7529

Phone

(214) 441-0064

NPI assigned

Sep 8, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Leslu Aguita

Title

Manager

Phone

(214) 441-0064

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220832000000",
    "number": "1104074657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 N O CONNOR RD",
            "address_2": "SUITE 27",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750617529",
            "telephone_number": "214-441-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 N O CONNOR RD",
            "address_2": "SUITE 27",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750617529",
            "telephone_number": "214-441-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DE LAS VARICES Y LASER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-08",
        "last_updated": "2008-09-08",
        "status": "A",
        "authorized_official_last_name": "AGUITA",
        "authorized_official_first_name": "LESLU",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-441-0064"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "E2992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Irving, TX
• Providers in Irving, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.