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Individual

DR. ANNMARIE MCRENA LEDLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
4500 WESLEY ST, GREENVILLE, TX 75401-5644
(903) 455-5986
(903) 454-4621
Mailing address
4311 WESLEY ST, GREENVILLE, TX 75401-5639
(903) 455-5986
(903) 454-4621

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
K6640
TX
207V00000X
Obstetrics & Gynecology Physician
OS013698
PA
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
K6640
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
092276701
TX
05
1018018780001
PA
01
K6640
STATE LICENSE NUMBER
TX
01
OS013698
MEDICAL LICENSE NUMBER
PA
Enumeration date
06/27/2005
Last updated
04/10/2012
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