Nelson, Leslie

Nelson, Leslie is an individual health care provider with primary practice located at 2505 Bolton Boone Dr Suite 107, Desoto TX 75115. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Nelson, Leslie can be contacted via phone (469) 759-2323.

Contact Information

Primary practice address
2505 Bolton Boone Dr Suite 107 Desoto TX 75115
Phone: (469) 759-2323
Fax: (469) 759-2324
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X L9825 Texas

Profile Details

NPI number 1700826088
LBN Legal business name Nelson, Leslie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Jan 23rd, 2015 - about 9 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 1700826088 NPPES
Texas Other 8U1143 BLUE CROSS BLUE SHIELD
Texas Other L9825 BLUE CROSS BLUE SHIELD

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