Provider Demographics
NPI:1750610283
Name:LAALI MANAGEMENT GROUP
Entity type:Organization
Organization Name:LAALI MANAGEMENT GROUP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CYRUS
Authorized Official - Middle Name:AMMAN
Authorized Official - Last Name:LAALI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:469-766-0808
Mailing Address - Street 1:5000 LEGACY DR STE 480
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-3129
Mailing Address - Country:US
Mailing Address - Phone:972-473-6325
Mailing Address - Fax:972-767-4344
Practice Address - Street 1:5000 LEGACY DR STE 480
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-3129
Practice Address - Country:US
Practice Address - Phone:972-473-6325
Practice Address - Fax:972-767-4344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-11
Last Update Date:2018-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11043111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty