Individual
MARK LEKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
719 W COKE RD, WINNSBORO, TX 75494-3011
(903) 342-5227
Mailing address
PO BOX 8549, FORT WORTH, TX 76124-0549
(817) 451-4208
(817) 496-5151
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
K6090
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0056MP
BLUE CROSS BLUE SHIELD
TX
05
—
136538918
—
TX
05
—
136538922
—
TX
01
—
P00853235
RRMCARE THRU IEPOS
TX
Enumeration date
06/10/2006
Last updated
05/16/2023
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