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Organization

COMMUNITY HEALTH AND REHABILITATION CENTRE PC

Active
Other names
Mark C. Lesko, DC PC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK CHARLES LESKO D.C. (OWNER / PRESIDENT)
(512) 835-6077
Entity
Organization

Contact information

Practice address
2013 WELLS BRANCH PKWY, # 103, AUSTIN, TX 78728-6903
(512) 835-6077
(512) 835-6079
Mailing address
2013 WELLS BRANCH PKWY, # 103, AUSTIN, TX 78728-6903
(512) 835-6077
(512) 835-6079

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4597
TX
225100000X
Physical Therapist
1178892
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8188208
BLUE LINK
TX
Enumeration date
12/04/2008
Last updated
03/01/2012
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