Doctor Name: | LESLY DESSIEUX |
NPI Number: | 1336215490 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | P0372 |
Business Practice Address: | 10920 Fry Rd Ste 100 Cypress, TX - 774334061 |
Business Phone Number: | 8322205103 |
Business Fax Number: | 2812568719 |
Mailing Address: | 10920 Fry Rd, Ste 100 CYPRESS |
State: | TX |
Postal Code: | 774334061 |
Phone Number: | 8322205103 |
Fax Number: | 2812568719 |
NPI Enumeration Date: | 11/28/2006 |
NPI Last Update Date: | 08/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | P0372 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |