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LESLEY A PARK
6624 FANNIN ST SUITE 1240 HOUSTON TX 770302324

LESLEY A PARK is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1659500973. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 4688729965. The primary specialty is INTERNAL MEDICINE. The organization is ST LUKES MEDICAL GROUP. The address is 6624 FANNIN ST, SUITE 1240, HOUSTON, TX, 770302324. The zip code is 770302324.


Nation Provider ID1659500973
PAC ID by PECOS4688729965
Professional Enrollment IDI20130323000021
NameLESLEY A PARK
Medical School NameUNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduation Year2012
Primary SpecialtyINTERNAL MEDICINE
All secondary specialties
Organization NameST LUKES MEDICAL GROUP
Group Practice PAC ID9133213192
Number of Group Practice members84
Address6624 FANNIN ST, SUITE 1240, HOUSTON, TX, 770302324
Hospital affiliation LBNST LUKES COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND
Graduation Year2012
Contact Number8323553575
Email Address[Show_Email_ID]

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