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Individual
DR. WALTER S. LESLEY
Active
Individual
DR. WALTER S. LESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
L9778
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1709057-01
CSHCN
TX
05
—
1709057-01
—
TX
01
—
8P2373
BLUE SHIELD
TX
01
—
P00166109
RR/MEDICARE
TX
Enumeration date
03/29/2006
Last updated
10/01/2020
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