Organization
DR. R. ANTON LESTER JR & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. R ANTON LESTER III D.O (PHYSICIAN)
(903) 592-8101
Entity
Organization
Contact information
Practice address
214 W HOUSTON ST, TYLER, TX 75702-8136
(903) 592-8101
(903) 526-0565
Mailing address
214 W HOUSTON ST, TYLER, TX 75702-8136
(903) 592-8101
(903) 526-0565
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F3204
TX
207R00000X
Internal Medicine Physician
L7322
TX
363LF0000X
Family Nurse Practitioner
681561
TX
363LP0200X
Pediatric Nurse Practitioner
607316
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1751398494967001
TX REHAB
TX
05
—
218401201
—
TX
05
—
218401202
—
TX
01
—
420343501375
ICS
TX
01
—
ZNHW317
IACS
TX
Enumeration date
12/29/2009
Last updated
10/05/2011
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