Boyd-Long, Leslie A.

Boyd-Long, Leslie A. is an sole proprietor health care provider with primary practice located at 3014 104Th St , Lubbock TX 79423-6088. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Boyd-Long, Leslie A. can be contacted via phone (806) 745-1656.

Contact Information

Primary practice address
3014 104Th St Lubbock TX 79423-6088
Phone: (806) 745-1656
Fax: (806) 743-2984
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 135111 Texas

Profile Details

NPI number 1710983515
LBN Legal business name Boyd-Long, Leslie A.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2005
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710983515 NPPES
Texas Other 85130U BLUE CROSS & BLUE SHIELD
Texas Other 85131U BLUE CROSS & BLUE SHIELD
Texas MEDICAID 93580584 BLUE CROSS & BLUE SHIELD
Texas Other 93524 BLUE CROSS & BLUE SHIELD
Texas MEDICAID 93524 BLUE CROSS & BLUE SHIELD

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