Individual
MARK ELLIOTT LECLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-7000
Mailing address
7209 STONETRAIL DR, DALLAS, TX 75230-5404
(469) 387-3305
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP135354
TX
Other
Enumeration date
06/15/2018
Last updated
06/15/2018
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