UNIVERSAL LASER TECHNOLOGIES, LLC (NPI# 1235224619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235224619 |
| Entity Type | Organization |
| Organization Name | UNIVERSAL LASER TECHNOLOGIES, LLC |
| Practice Address |
2423 Caney Creek Court Richmond TX 77469 |
| Practice Telephone | 2816339167 |
| Practice Fax Number | 2816338972 |
| Mailing Telephone | 2816339167 |
| Mailing Fax Number | 2816338972 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. RUSSELL WAYNE DUNLAP (CEO) |
| Authorized Official Telephone | 2816339167 |
| Authorized Official Credential | MLSO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | Z01520 | TX | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD | HH1565 | 01 |
| TX | BUREAU OF RADIOLOGY # | Z01520 | 01 |
| Street Address |
2423 CANEY CREEK COURT |
| City | RICHMOND |
| State | TX |
| Zip Code | 77469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992325328 | Nikki Bradley | Private Vehicle | 7902 Lake Commerce Drive, Rosenberg, TX 77469 | 2020-04-27 |
| 1508496993 | Vanessa Joyce Daniels | Counselor | 22155 Wildwood Park Road, 615, Richmond, TX 77469 | 2020-01-24 |
| 1881230183 | Tiffany Elaine Chen | Counselor | 22034 Rustic Canyon Lane, Richmond, TX 77469 | 2019-11-21 |
| 1265074199 | Laura Y Magana | Technician | 212 Mellon Street, Richmond, TX 77469 | 2019-10-11 |
| 1629626155 | Kofi Assenso-onyinah | Registered Nurse | 8111 Baccharis Road, Richmond, TX 77469 | 2019-08-28 |
| 1740759182 | Houssam Mahmoud Mozeyen | Nurse Practitioner | 5719 Indigo Trails Dr, Richmond, TX 77469 | 2018-11-15 |
| 1205317302 | Amarachi Peace Okafor | Registered Nurse | 22018 Rustic Canyon Ln, Richmond Tx, TX 77469 | 2018-08-27 |
| 1649750969 | Brazos Hybrid Pharmacy LLC | Pharmacy | 545 Fm 2977 Road Suite 110, Rosenberg, TX 77469 | 2018-08-16 |
| 1104303437 | Richmond Rx LLC | Pharmacy | 1100 Jackson Street, Suite D, Richmond, TX 77469 | 2018-07-19 |
| 1962988766 | Allcare Mental Health Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6419 Granite Springs Ln, Richmond, TX 77469 | 2018-07-15 |
| Find all providers in zip 77469 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427665363 | Kristin Peck | Specialist/Technologist, Other | 3435 W Cary St, Richmond, VA 23221-2726 | 2020-09-24 |
| 1902365356 | Zachariah Smith | Specialist/Technologist, Other | 324 Highland Park Dr, Richmond, KY 40475-3487 | 2019-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649891169 | Edison Bio LLC | Specialist/Technologist, Other | 2700 Post Oak Blvd, Galleria Office Tower I, Houston, TX 77056 | 2020-05-06 |
| 1902456197 | Jimmie C Salazar | Specialist/Technologist, Other | 301 Tubb Loop Rd, Big Spring, TX 79720-0658 | 2019-09-19 |
| 1821646480 | Julio Rodriguez | Specialist/Technologist, Other | 7111 Elm St, Frisco, TX 75034-4234 | 2019-08-27 |
| 1700438074 | Myindustries, LLC | Specialist/Technologist, Other | 1151 N Buckner Blvd Ste 407, Dallas, TX 75218-3407 | 2019-07-16 |
| 1942862438 | Md Stream, LLC | Specialist/Technologist, Other | 2129 Fm 2920 Rd # 190-279, Spring, TX 77388-3671 | 2019-07-03 |
| 1427610575 | Anna L Landry | Specialist/Technologist, Other | 1432 Commerce, Buffalo, TX 75131 | 2019-06-28 |
| 1194381871 | Destry Graham Flatt | Specialist/Technologist, Other | 720 1/2 Rollingbrook Dr, Baytown, TX 77521-4059 | 2019-05-17 |
| 1881150670 | Ada J Smith | Specialist/Technologist, Other | 6414 Annunciation St, Houston, TX 77016-2102 | 2019-02-16 |
| 1952883027 | Jennifer Mortensen | Specialist/Technologist, Other | 2330 Timber Shadows Dr Ste 102, Kingwood, TX 77339-2675 | 2018-09-05 |
| 1255821435 | Axiom Health Services, LLC | Specialist/Technologist, Other | 5422 Alpha Rd, Dallas, TX 75240 | 2018-05-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.