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Organization

PHOENIX THERA-LASE SYSTEMS, LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID POWER (PRESIDENT AND COO)
(214) 890-4054
Entity
Organization

Contact information

Practice address
5454 LA SIERRA DRIVE, SUITE 203, DALLAS, TX 75231-2346
(496) 567-3959
Mailing address
5454 LA SIERRA DRIVE, SUITE 203, DALLAS, TX 75231-2346
(469) 567-3959

Taxonomy

Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary

Other

Enumeration date
01/02/2013
Last updated
03/14/2014
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