Individual provider · Type 1 NPI
Leris Idehen
Occupational Medicine Clinic/Center · Forney, TX
NPI number
1699492603
Active
Practice location
4302 Cat Tail Way
Forney, TX 75126-2559
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Medicine Clinic/Center Primary | 261QX0100X | None listed |
Occupational Medicine Clinic/Center: Definition to come...
About NPI 1699492603
Leris Idehen's National Provider Identifier is 1699492603, issued on Oct 21, 2022. The primary taxonomy on file is Occupational Medicine Clinic/Center (261QX0100X), and the practice location is in Forney, TX. The record was last updated on Oct 21, 2022.