Individual
DR. LEESA BLAKE CONDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3605 LEXINGTON AVE, DALLAS, TX 75205-3916
(214) 526-7995
(214) 522-1460
Mailing address
3605 LEXINGTON AVE, DALLAS, TX 75205-3916
(214) 526-7995
(214) 522-1460
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
E9043
TX
Other
Enumeration date
08/24/2009
Last updated
08/24/2009
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