NPIMap

Organization Active NPI

Horizon Vein Laser&Aesthetics Clinic PA

  • Specialist
  • Plano, TX
National Provider Identifier
1194912832
Registry record updated Apr 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G7721 Issued in TX
Legal business name
HORIZON VEIN LASER&AESTHETICS CLINIC PA
Practice address
6020 W Parker Rd
Suite #300
Plano, TX 75093-8171
Phone
(972) 661-8884
Fax
(972) 980-4100
NPI assigned
Sep 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2014

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

Authorized official

Name
Dr. Daniel Shalev, M.D.
Title
Medical Director
Phone
(972) 980-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G7721 TX Primary

Addresses

Primary practice location

6020 W Parker Rd
Suite #300
Plano, TX 75093-8171

Mailing address

PO Box 803311
Dallas, TX 75380-3311
Phone (972) 661-8884

Other identifiers 1

IdentifierTypeStateIssuer
G7721OtherTXMEDICAL LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398816000000",
    "number": "1194912832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 803311",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753803311",
            "telephone_number": "972-661-8884",
            "fax_number": "972-980-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 W PARKER RD",
            "address_2": "SUITE #300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938171",
            "telephone_number": "972-661-8884",
            "fax_number": "972-980-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON VEIN LASER&AESTHETICS CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2014-04-30",
        "status": "A",
        "authorized_official_last_name": "SHALEV",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "972-980-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "G7721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "G7721",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; 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.