Provider Demographics
NPI:1962631630
Name:LAALI, CYRUS AMMAN (DC)
Entity Type:Individual
Prefix:DR
First Name:CYRUS
Middle Name:AMMAN
Last Name:LAALI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5000 LEGACY DR
Mailing Address - Street 2:SUITE 310
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-3290
Mailing Address - Country:US
Mailing Address - Phone:972-473-6325
Mailing Address - Fax:972-767-4344
Practice Address - Street 1:5000 LEGACY DR
Practice Address - Street 2:SUITE 310
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024
Practice Address - Country:US
Practice Address - Phone:972-473-6325
Practice Address - Fax:972-767-4344
Is Sole Proprietor?:No
Enumeration Date:2009-07-02
Last Update Date:2018-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11043111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor