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Individual

DR. LESLIE MEDLEY CUZICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1500 CITYWEST BLVD, STE. 300, HOUSTON, TX 77042-2300
(713) 620-4000
(713) 458-4229
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
BP10023843
TX
207L00000X
Anesthesiology Physician
Primary
N1599
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
215229001
TX
01
8CL590
BLUE CROSS BLUE SHIELD
TX
01
P00878099
RAILROAD MEDICARE
TX
Enumeration date
06/30/2008
Last updated
08/25/2020
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