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Leslie Paul Dula, LAT
Other Specialist/Technologist in Fort Worth, Texas
NPI 1598210817

Leslie Paul Dula is a Other Specialist/Technologist based in Fort Worth, TX. Leslie Paul Dula practices in Fort Worth, TX and has the professional credentials of LAT. The NPI Number for Leslie Paul Dula is 1598210817 and holds a License No. 2255A2300X (Texas).

The current practice location address for Leslie Paul Dula is 2211 Mckinley Ave, Fort Worth, TX and can be reached out via phone at 817-814-4086.

Location: 2211 Mckinley Ave, Fort Worth, TX, 76164-7739
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598210817
Provider Name
Leslie Paul Dula
Credential
LAT
Provider Entity Type
Individual
Gender
Male
Address
2211 Mckinley Ave, Fort Worth, TX, 76164-7739
Phone Number
817-814-4086
Fax Number
Provider Enumeration Date
08/16/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AT1270 01 TX ADVISORY BOARD OF ATHLETIC TRAINERS
institution
Provider Business Practice Location Address Details
Address
2211 Mckinley Ave
City
Fort Worth
State
Texas
Zip
76164-7739
Phone Number
817-814-4086
Fax Number
person
Provider Business Mailing Address Details
Address
2211 Mckinley Ave
City
Fort Worth
State
Texas
Zip
76164-7739
Phone Number
817-814-4086
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
-
Taxonomy
246Z00000X
License No.
2255A2300X (Texas)
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
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