Provider Demographics
NPI:1508998212
Name:PHALCON UNITED LLP
Entity Type:Organization
Organization Name:PHALCON UNITED LLP
Other - Org Name:LAS COLINAS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:GUSS
Authorized Official - Last Name:HRNCIR
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:972-580-1814
Mailing Address - Street 1:4835 N O CONNOR RD STE 130
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-2741
Mailing Address - Country:US
Mailing Address - Phone:972-580-1814
Mailing Address - Fax:972-650-1072
Practice Address - Street 1:4835 N O CONNOR RD STE 130
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-2741
Practice Address - Country:US
Practice Address - Phone:972-580-1814
Practice Address - Fax:972-650-1072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10605183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty