Individual provider · NPI-1

Dr. Leslie James Allison, MD

Family Medicine · Hammond, IN

NPI number1265405534
StatusActive
Last updated in NPPESMar 11, 2016

Details

NPI
1265405534
Entity type
Individual (NPI-1)
Name
Dr. Leslie James Allison
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 8, 2006
Last updated
Mar 11, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineJ7408TXYes

Practice location

6920 Indianapolis Blvd
Hammond, IN 46324-2206

Phone 219-763-8112 · Fax 219-764-3251

Mailing address

5080 Spectrum Dr
Ste 1200w
Addison, TX 75001-4624

Phone 972-720-7820 · Fax 214-775-4502

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