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Individual

LESLIE M HOLLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2014 BEN MERRITT DR STE B, DECATUR, TX 76234-3851
(940) 627-4400
(940) 626-4411
Mailing address
PO BOX 2078, DECATUR, TX 76234-6156
(940) 627-4400
(940) 626-4411

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K3589
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
092399705
TX
01
8GN062
BCBSTX
TX
Enumeration date
05/10/2006
Last updated
01/25/2023
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