Organization
GREATER SOUTHWEST MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD LESTER MD (PHYSICIAN)
(817) 488-0100
Entity
Organization
Contact information
Practice address
815 IRA E WOODS AVENUE #200, GRAPEVINE, TX 76051
(817) 488-0100
(817) 488-4568
Mailing address
815 IRA E WOODS AVENUE #200, GRAPEVINE, TX 76051
(817) 488-0100
(817) 488-4568
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L2986
TX
Other
Enumeration date
11/22/2011
Last updated
11/22/2011
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