Individual
LESLIE F ANSLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
3080 COLLEGE ST., BEAUMONT, TX 77701-4606
(409) 212-5000
Mailing address
9301 S. WESTERN AVE., OKLAHOMA CITY, OK 73139-2767
(866) 321-8433
(405) 419-8003
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
737816
TX
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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