Individual
LESLIE C HARDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1325 PENNSYLVANIA AVE STE 690, FORT WORTH, TX 76104
(817) 924-2216
(817) 924-5602
Mailing address
1325 PENNSYLVANIA AVE STE 690, FORT WORTH, TX 76104-2133
(817) 924-2216
(817) 924-5602
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
L8362
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185805202
—
TX
01
—
8BG630
BCBS
TX
Enumeration date
07/28/2006
Last updated
04/01/2019
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