Individual
GREGG A LESSLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4510 MEDICAL CENTER DR STE 211, MCKINNEY, TX 75069-1602
(469) 541-1600
(469) 541-1612
Mailing address
906 WEST MCDERMOTT DRIVE, #116-371, ALLEN, TX 75013-6510
(469) 541-1600
(469) 541-1612
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
L8412
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
169347501
—
TX
05
—
169347502
—
TX
05
—
169347503
—
TX
01
—
8BE093
BCBS
TX
01
—
8P0970
BLUE SHIELD
TX
01
—
P00719299
RAILROAD
TX
Enumeration date
06/23/2006
Last updated
09/28/2023
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