# DR. DALLAS A LEA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1063420750
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P0004X | Spinal Cord Injury Medicine Physician | D59136 | MD | Yes |
| 2081P0004X | Spinal Cord Injury Medicine Physician | L3375 | TX | — |
| 2081P0004X | Spinal Cord Injury Medicine Physician | MD33523 | DC | — |

## Other

- **Enumeration date:** 08/04/2006
- **Last updated:** 04/01/2015