Clinica De Las Varices Y Laser Inc.

NPI #1104074657 in Irving, Texas

Provider Information

NPI Number: 1104074657
Entity Type: Organization
Organization Name: Clinica De Las Varices Y Laser Inc.
Primary Specialty: Clinic/Center
Enumeration Date: Sep 8, 2008
Last Updated: Sep 8, 2008

Practice Location

Address: 613 N O CONNOR RD
Address 2: SUITE 27
City: Irving
State: Texas
ZIP Code: 75061-7529
Phone: (214) 441-0064

Authorized Official

Name: LESLU AGUITA
Title: MANAGER
Phone: (214) 441-0064

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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