Individual
DR. LESLIE R DEMETRI SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2810 DACY LN, KYLE, TX 78640-6322
(512) 268-8900
(512) 268-2250
Mailing address
3066 E COMMERCE ST, SAN ANTONIO, TX 78220-1013
(210) 233-7000
(210) 277-6387
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
D9417
TX
Other
Enumeration date
04/02/2007
Last updated
07/21/2022
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