Laser Vaginal Rejuvenation Institute of Dallas PA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

K8880 Issued in TX

Legal business name

LASER VAGINAL REJUVENATION INSTITUTE OF DALLAS PA

Doing business as

WOMENS WELLNESS INSTITUTE

Practice address

9101 N Central Expy
Suite 550
Dallas, TX 75231-5927

Phone

(214) 442-0055

Fax

(214) 442-0056

NPI assigned

Jun 26, 2008

Organization subpart

No

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

Authorized official

Name

Tammie M Jackson

Title

Billing MGR

Phone

(469) 916-4767

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• WOMENS WELLNESS INSTITUTE Doing business as

Tax ID family

Laser Vaginal Rejuvenation Institute of Dallas PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Laser Vaginal Rejuvenation Institute of Dallas, P.a.

  • Gynecology Physician
  • Dallas, TX
  • NPI 1114051521
  NPD tax ID

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1932361441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 N CENTRAL EXPY",
            "address_2": "SUITE 550",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752315927",
            "telephone_number": "214-442-0055",
            "fax_number": "214-442-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 N CENTRAL EXPY",
            "address_2": "SUITE 550",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752315927",
            "telephone_number": "214-442-0055",
            "fax_number": "214-442-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASER VAGINAL REJUVENATION INSTITUTE OF DALLAS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "TAMMIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING MGR",
        "authorized_official_telephone_number": "469-916-4767"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "K8880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0097PK",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WOMENS WELLNESS INSTITUTE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Larson
• Patricia A. Larue, MD
• Emily Larzabal, M.A., LPC
• Las Colinas Surgical Associates, PA
• Laser Bar, LLC
• Laser Vaginal Rejuvenation Institute of Dallas, P.a.
• Joanne Lashmet, WHCNP
• Andrew G Lashus, MD
• Dea Lasic, PHARMD
• Oreoluwa Temitope Lasisi, PHARMD

• Obstetrics & Gynecology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.