Organization
ALAN C LESHNOWER MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN C LESHNOWER MD (PRESIDENT)
(432) 332-6600
Entity
Organization
Contact information
Practice address
1220 W UNIVERSITY BLVD, ODESSA, TX 79764-7118
(432) 332-6600
(866) 730-6998
Mailing address
1220 W UNIVERSITY BLVD, ODESSA, TX 79764-7118
(432) 332-6600
(866) 673-0699
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
G0756
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G0756
MEDICAL LICENSE
TX
Enumeration date
12/02/2009
Last updated
04/22/2014
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