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Individual

MARK LESHIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3600 GASTON AVE, #1160, DALLAS, TX 75246-1800
(214) 828-1276
(214) 828-0213
Mailing address
3600 GASTON AVE, STE #1160, DALLAS, TX 75246-1800
(214) 828-1276
(214) 828-0213

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
E9768
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00DP97
MEDICARE ID
TX
Enumeration date
07/15/2005
Last updated
03/22/2013
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