Organization
HORIZON VEIN LASER&AESTHETICS CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL SHALEV M.D. (MEDICAL DIRECTOR)
(972) 980-4400
Entity
Organization
Contact information
Practice address
6020 W PARKER RD, SUITE #300, PLANO, TX 75093-8171
(972) 661-8884
(972) 980-4100
Mailing address
PO BOX 803311, DALLAS, TX 75380-3311
(972) 661-8884
(972) 980-4100
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G7721
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G7721
MEDICAL LICENSE
TX
Enumeration date
09/26/2007
Last updated
04/30/2014
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