Individual
DR. LESLIE H SECREST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8222 DOUGLAS AVE STE 604, DALLAS, TX 75225-5937
(214) 225-0848
(469) 250-4802
Mailing address
PO BOX 195783, DALLAS, TX 75219-8613
(214) 225-0848
(214) 345-8753
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D5202
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00R654
BCBS
TX
05
—
035635401
—
TX
Enumeration date
07/04/2006
Last updated
12/22/2021
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