Organization
GREATER SOUTHWEST MEDICAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD A LESTER M.D. (PRESIDENT AND CHIEF EXECUTIVE OFFIC)
(817) 488-0100
Entity
Organization
Contact information
Practice address
815 IRA E WOODS AVENUE SUITE 200, GRAPEVINE, TX 76051
(817) 488-0100
(817) 488-4568
Mailing address
815 IRA E WOODS AVENUE SUITE 200, GRAPEVINE, TX 76051
(817) 488-0100
(817) 488-4568
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
2084N0400X
Neurology Physician
—
—
208M00000X
Hospitalist Physician
—
—
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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