Individual
BEN A LEESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2606 HOSPITAL BLVD, EMERGENCY DEPARTMENT-MEMORIAL, CORPUS CHRISTI, TX 78405-1833
(361) 902-4151
Mailing address
2606 HOSPITAL BLVD # 5W, CORPUS CHRISTI, TX 78405-1804
(361) 902-6762
(361) 902-4715
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
N0207
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
937576
—
AZ
Enumeration date
09/19/2006
Last updated
06/18/2013
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