Organization
ECLIPSE CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUSTIN LEEK MD (SOLE MEMBER)
(817) 526-4604
Entity
Organization
Contact information
Practice address
1006 LEGACY RANCH RD, 104, WAXAHACHIE, TX 75165
(817) 826-4604
Mailing address
1006 LEGACY RANCH RD, 104, WAXAHACHIE, TX 75165
(817) 826-4604
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15016694
CAQH
TX
Enumeration date
05/17/2021
Last updated
05/17/2021
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