Individual
AMADEO ESEQUIEL LEDESMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
6017 HILLSIDE RD STE 1100, AMARILLO, TX 79109-7213
(806) 680-5888
Mailing address
2431 S LOOP 289, LUBBOCK, TX 79423-1519
(806) 771-8008
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1321266
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403493601
—
TX
01
—
8LN865
BCBS
TX
Enumeration date
08/09/2019
Last updated
03/13/2023
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