Individual
LESLIE M. BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3070 COLLEGE ST, #406, BEAUMONT, TX 77701
(512) 275-3700
Mailing address
3507 N LAMAR BLVD #300725, AUSTIN, TX 78705-1108
(512) 275-3700
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
J3993
TX
Other
Enumeration date
08/18/2006
Last updated
01/13/2025
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