Leslie M. Bishop, M.D.
Physical Medicine & Rehabilitation, Sports Medicine in Beaumont, TX. Individual provider (NPI-1).
NPI number1891809505
StatusActive
Last updated in NPPESJan 13, 2025
Details
- NPI
- 1891809505
- Entity type
- Individual (NPI-1)
- Name
- Leslie M. Bishop
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 18, 2006
- Certification date
- Jan 13, 2025
- Last updated
- Jan 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2081S0010X | Physical Medicine & Rehabilitation, Sports Medicine | J3993 | TX | Yes |
Practice location
3070 College St, #406Beaumont, TX 77701
Phone 512-275-3700
Mailing address
3507 N Lamar Blvd #300725Austin, TX 78705-1108
Phone 512-275-3700
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