Individual
LESLEY RAE HAUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5301 SUGARLOAF TRL # 5208, FORT WORTH, TX 76244-1437
(703) 593-2619
Mailing address
750 S MAIN ST STE 150-54, KELLER, TX 76248-7043
(703) 593-2619
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/13/2019
Last updated
01/13/2019
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