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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 ID||1659500973|
|PAC ID by PECOS||4688729965|
|Professional Enrollment ID||I20130323000021|
|Name||LESLEY A PARK|
|Medical School Name||UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON|
|Primary Specialty||INTERNAL MEDICINE|
|All secondary specialties|
|Organization Name||ST LUKES MEDICAL GROUP|
|Group Practice PAC ID||9133213192|
|Number of Group Practice members||84|
|Address||6624 FANNIN ST, SUITE 1240, HOUSTON, TX, 770302324|
|Hospital affiliation LBN||ST LUKES COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND|