Individual
COURTNEY M. LESLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3455 LOCKE AVE STE 210, FORT WORTH, TX 76107-5747
(817) 529-6200
Mailing address
3455 LOCKE AVE STE 210, FORT WORTH, TX 76107-5747
(817) 529-6200
(817) 529-6206
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10028
TX
363A00000X
Physician Assistant
—
—
Other
Enumeration date
07/23/2015
Last updated
08/18/2021
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