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Organization
LESLIE WILMOT NELSON MD PA
Active
Organization
LESLIE WILMOT NELSON MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESILE WILMOT NELSON M.D (EXECUTIVE PRESIDENT)
(817) 548-6648
Entity
Organization
Contact information
Practice address
909 MEDICAL CENTRE DR, STE A, ARLINGTON, TX 76012-4757
(817) 274-5580
(817) 274-5540
Mailing address
2803 RIVERSIDE DR, #1905, GRAND PRAIRIE, TX 75050-7820
(817) 274-5580
(817) 633-8229
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L9825
TX
Other
Enumeration date
03/26/2007
Last updated
08/22/2020
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