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Individual

LESLEY C MURCHISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1300 W LANCASTER AVE, STE 101, FORT WORTH, TX 76102-3410
(817) 870-2910
(817) 870-2180
Mailing address
PO BOX 99371, FORT WORTH, TX 76199-0371
(682) 885-1855
(682) 885-7347

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
H0667
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00U87Z
BCBSTX GRP PIN
TX
01
120049100
FIRSTCARE PIN
TX
05
127166007
TX
05
127166008
TX
05
137345801
TX
01
1392580
UHC PIN
TX
01
1750369203
GRP NPI NUMBER
05
177056201
TX
01
4140237
AETNA PIN
TX
01
4340938
CIGNA PIN
TX
01
46864
FIRSTHEALTH PIN
TX
01
87043G
BCBSTX IND PIN
TX
01
MURLB25033
CCHIP PIN
TX
Enumeration date
10/18/2006
Last updated
05/12/2010
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