Individual
LESLIE A WEISBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6300 W PARKER RD, STE 220, PLANO, TX 75093-8100
(972) 981-8215
(972) 981-3099
Mailing address
6300 W PARKER RD, STE 220, PLANO, TX 75093-8168
(972) 981-8215
(972) 981-3099
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
J2999
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00076D
BCBS
TX
05
—
096287002
—
TX
01
—
5276560
AETNA
TX
01
—
P00073709
RAILROAD MEDICARE
TX
Enumeration date
06/04/2006
Last updated
06/16/2008
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