Dula, Leslie Paul

Dula, Leslie Paul is an individual health care provider with primary practice located at 2211 Mckinley Ave , Fort Worth TX 76164-7739. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other, which is considered as his primary health care specialty. Dula, Leslie Paul can be contacted via phone (817) 814-4086.

Contact Information

Primary practice address
2211 Mckinley Ave Fort Worth TX 76164-7739
Fax:
Website:

Health care specialties

Profile Details

NPI number 1598210817
LBN Legal business name Dula, Leslie Paul
Credentials Licensed Athletic Trainer (LAT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2016
Last updated Aug 16th, 2016 - about 8 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 1598210817 NPPES
Texas Other AT1270 ADVISORY BOARD OF ATHLETIC TRAINERS

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