Individual
DR. NATHAN EDWIN LESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5612 EDWARDS RANCH RD, FORT WORTH, TX 76109-4145
(817) 420-9238
(817) 357-4363
Mailing address
PO BOX 961205, FORT WORTH, TX 76161-1205
(817) 877-3277
(817) 877-3280
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
N0921
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
285881301
—
TX
01
—
P01021883
RAILROAD MEDICARE
TX
Enumeration date
08/18/2009
Last updated
12/18/2020
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