Leslie Ann Rendon
Individual provider Active NPI Contractor · San Angelo, TX
NPI 1417340910 · NPPES record last updated Mar 9, 2015
Key facts
- NPI
- 1417340910
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 1213 Rita Cir
San Angelo, TX 76905-4201 - Phone
- (325) 703-1139
- NPI assigned
- Mar 9, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Yes |
Addresses
Primary practice location
1213 Rita Cir
San Angelo, TX 76905-4201
Mailing address
1213 Rita Cir
San Angelo, TX 76905-4201
Phone (325) 703-1139
Other providers in San Angelo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.