Phoenix Thera-Lase Systems, LLC.

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

Legal business name

PHOENIX THERA-LASE SYSTEMS, LLC.

Practice address

5454 La Sierra Drive
Suite 203
Dallas, TX 75231-2346

Phone

(496) 567-3959

NPI assigned

Jan 2, 2013

Last updated

Mar 14, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Power

Title

President and Coo

Phone

(214) 890-4054

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394755200000",
    "number": "1437495934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5454 LA SIERRA DRIVE",
            "address_2": "SUITE 203",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752312346",
            "telephone_number": "469-567-3959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5454 LA SIERRA DRIVE",
            "address_2": "SUITE 203",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752312346",
            "telephone_number": "496-567-3959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX THERA-LASE SYSTEMS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-02",
        "last_updated": "2014-03-14",
        "status": "A",
        "authorized_official_last_name": "POWER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT AND COO",
        "authorized_official_telephone_number": "214-890-4054"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoenix Anesthesia and Pain Management Group, PLLC
• Phoenix Associates Counseling Services Inc (Ascendus Behavioral Health)
• Phoenix Chiropractic Dallas
• Phoenix Houses of Texas, Inc
• Phoenix Pain Clinic, PLLC
• Jill Annette Phoenix, CRNA
• Wendi Ellen Phoenix
• Cindy Phok
• Claire Phoneprasert
• PHR Diagnostics, LLC

• Other Specialist/Technologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Other Specialist/Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.