Individual
DR. WALTER S. LESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
L9778
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1709057-01
CSHCN
TX
05
—
1709057-01
—
TX
01
—
8P2373
BLUE SHIELD
TX
01
—
P00166109
RR/MEDICARE
TX
Enumeration date
03/29/2006
Last updated
10/01/2020
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