| Leslie Wilmot Nelson Md Pa | |
|
909 Medical Centre Dr Ste A Arlington TX 76012-4757 | |
| (817) 274-5580 | |
| (817) 274-5540 |
| Full Name | Leslie Wilmot Nelson Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 909 Medical Centre Dr, Arlington, Texas |
| Authorized Official Name and Position | Lesile Wilmot Nelson (EXECUTIVE PRESIDENT) |
| Authorized Official Contact | 8175486648 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie Wilmot Nelson Md Pa 2803 Riverside Dr #1905 Grand Prairie TX 75050-7820 Ph: (817) 274-5580 | Leslie Wilmot Nelson Md Pa 909 Medical Centre Dr Ste A Arlington TX 76012-4757 Ph: (817) 274-5580 |
| NPI Number | 1710004551 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6002912805 |
|---|---|
| Medicare Enrollment ID | O20070510000218 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710004551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | L9825 (Texas) | Primary |
| Provider Name | Leslie Wilmot Nelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700826088 PECOS PAC ID: 9335104926 Enrollment ID: I20041123000414 |
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