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Leris Idehen
Occupational Medicine Clinic/Center in Forney, Texas
NPI 1699492603

Leris Idehen is a Occupational Medicine Clinic/Center based in Forney, TX and is specialized in Occupational Medicine. Leris Idehen practices in Forney, TX. The NPI Number for Leris Idehen is 1699492603 and holds a License No. (Texas).

The current practice location address for Leris Idehen is 4302 Cat Tail Way, Forney, TX and can be reached out via phone at 214-283-6759.

Location: 4302 Cat Tail Way, Forney, TX, 75126-2559
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699492603
Provider Name
Leris Idehen
Credential
Provider Entity Type
Individual
Gender
Male
Address
4302 Cat Tail Way, Forney, TX, 75126-2559
Phone Number
214-283-6759
Fax Number
Provider Enumeration Date
10/21/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4302 Cat Tail Way
City
Forney
State
Texas
Zip
75126-2559
Phone Number
214-283-6759
Fax Number
person
Provider Business Mailing Address Details
Address
4302 Cat Tail Way
City
Forney
State
Texas
Zip
75126-2559
Phone Number
214-283-6759
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Occupational Medicine
Taxonomy
261QX0100X
License No.
()
Definition
Definition to come...
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