Individual
LESLIE JOHN DERDEYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13737 NOEL RD STE 1600, ATTN RAYS, DALLAS, TX 75240-1374
(303) 933-8270
(303) 933-8270
Mailing address
13737 NOEL RD STE 1600, ATTN RAYS, DALLAS, TX 75240-1374
(303) 933-8270
(303) 933-8270
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
F3900
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132261203
—
TX
Enumeration date
07/19/2005
Last updated
05/31/2013
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