Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | H4908 | TX |
NPI | 1841281318 |
---|---|
Provider Name | Lesley M Drummond-Borg |
First Address | Dallas, TX 75373-3784 |
Second Address | Fort Worth, TX 76104-2500 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2005 |
Last Update Date | 12/05/2021 |