Individual
DR. LESLIE JAMES ALLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6920 INDIANAPOLIS BLVD, HAMMOND, IN 46324-2206
(219) 763-8112
(219) 764-3251
Mailing address
5080 SPECTRUM DR, STE 1200W, ADDISON, TX 75001-4624
(972) 720-7820
(214) 775-4502
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J7408
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00U53H
BLUE CROSS BLUE SHIELD
—
01
—
01072872A
STATE LICENSE
IN
01
—
111937202
MEDICAID
TX
05
—
111937204
—
TX
01
—
121372
SUPERIOR HEALTH
TX
05
—
164204301
—
TX
01
—
21643
UTMB
TX
01
—
4119831
BLUE LINK #
TX
01
—
429053
WELLCARE
—
01
—
5272075
AETNA
TX
Enumeration date
02/08/2006
Last updated
03/11/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us