Organization
TRAVIS LEE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE HERNANDEZ RN (CO-OWNER)
(405) 412-9625
Entity
Organization
Contact information
Practice address
201 CLUB VILLA COURT, BUILDING A, KATHLEEN, GA 31047
(405) 412-9625
Mailing address
201 CLUB VILLA COURT, BUILDING A, KATHLEEN, GA 31047
(405) 412-9625
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/24/2025
Last updated
07/24/2025
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