Leedy, Liesel E.A.
Leedy, Liesel E.A. is an individual health care provider with primary practice located at 6606 Lbj Fwy Ste 200 , Dallas TX 75240-6524. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Leedy, Liesel E.A. can be contacted via phone (972) 715-5000.Contact Information
Primary practice address
6606 Lbj Fwy Ste 200
Dallas TX 75240-6524
Phone: (972) 715-5000
Fax: (972) 715-9976
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | J4308 | Texas |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | J3408 | Texas |
Profile Details
| NPI number | 1043286883 |
|---|---|
| LBN Legal business name | Leedy, Liesel E.A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Mar 24th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043286883 | NPPES |
| Texas | Other | 0052NA | BC/BS |
| Texas | MEDICAID | 125268606 | BC/BS |
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