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Dr. Lee A. Tisdale, DO

Anesthesiology in Dallas, TX. Individual provider (NPI-1).

NPI number1528045929
StatusActive
Last updated in NPPESJul 25, 2022

Details

NPI
1528045929
Entity type
Individual (NPI-1)
Name
Dr. Lee A. Tisdale
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Dec 27, 2005
Certification date
Jul 25, 2022
Last updated
Jul 25, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207L00000X AnesthesiologyJ8148TXYes

Practice location

12222 Merit Dr Ste 600
Dallas, TX 75251-3294

Phone 972-715-5000 · Fax 972-715-9976

Mailing address

Po Box 840853
Dallas, TX 75284-0865

Phone 972-233-1999 · Fax 972-233-3666

Other practice locations

6606 Lbj Fwy
Suite 200
Dallas, TX 75240-6533

Phone 972-715-5000 · Fax 972-715-9976

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