Clinica De Las Varices Y Laser INC.
Clinic/Center in Irving, TX. Organization (NPI-2).
NPI number1104074657
StatusActive
Last updated in NPPESSep 8, 2008
Details
- NPI
- 1104074657
- Entity type
- Organization (NPI-2)
- Legal business name
- Clinica De Las Varices Y Laser INC.
- Organization subpart
- No
- Enumeration date
- Sep 8, 2008
- Last updated
- Sep 8, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | E2992 | TX | Yes |
Practice location
613 N O Connor RdSuite 27
Irving, TX 75061-7529
Phone 214-441-0064
Mailing address
613 N O Connor RdSuite 27
Irving, TX 75061-7529
Phone 214-441-0064
Authorized official
Leslu Aguita
Manager
2144410064
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