Dr. Leesa Blake Condry
Gynecologist
3605 Lexington Ave
Dallas
, Texas 75205-3916
Dr. Leesa Blake Condry
Gynecologist
3605 Lexington Ave
Dallas
, Texas 75205-3916
(214) 522-1460
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About
Features
Specialties
- Gynecologist
Languages spoken
- English
Location
First Address
- Dr. Leesa Blake Condry
- 3605 Lexington Ave
- Dallas, TX
- Zip : 75205-3916
- Fax : (214) 522-1460
- Phone : (214) 526-7995
Second Address
- Dr. Leesa Blake Condry
- 3605 Lexington Ave
- Dallas, TX
- Zip : 75205-3916
- Fax : (214) 522-1460
- Phone : (214) 526-7995
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VG0400X | Gynecologist | E9043 | TX |
National Provider Identifier
| NPI | 1073746160 |
|---|---|
| Provider Name | Dr. Leesa Blake Condry |
| First Address | Dallas, TX 75205-3916 |
| Second Address | Dallas, TX 75205-3916 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/08/2009 |
| Last Update Date | 24/08/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.