# LESLIE CLINIC INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912172651
- **Authorized official:** DR. PORTER BASS LESLIE M.D. (OWNER)
- **Authorized official phone:** (580) 922-4283

## Contact information

- **Practice address:** NE HIGHWAY 60, SEILING, OK 73663-0838
- **Practice address phone:** (580) 922-4283
- **Practice address fax:** (580) 922-7717
- **Mailing address:** PO BOX 838, SEILING, OK 73663-0838
- **Mailing address phone:** (580) 922-4283
- **Mailing address fax:** (580) 922-7717

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/24/2008
- **Last updated:** 04/24/2008