Organization Active NPI

Leslie H. Secrest M.D., PA

  • Psychiatry Physician
  • Dallas, TX
National Provider Identifier
1437395472
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D5202 Issued in TX
Legal business name
LESLIE H. SECREST M.D., PA
Doing business as
Leslie H. Secrest,MD
Practice address
8222 Douglas Ave Ste 604
Dallas, TX 75225-5937
Phone
(214) 345-7355
Fax
(469) 250-4802
NPI assigned
Dec 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Leslie H Secrest, M.D.
Title
Psychatrist
Phone
(214) 225-0848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X D5202 TX Primary

Addresses

Primary practice location

8222 Douglas Ave Ste 604
Dallas, TX 75225-5937

Mailing address

PO Box 195783
Dallas, TX 75219-8613
Phone (214) 225-0848

Other names 1

  • Leslie H. Secrest,MD Doing business as

National Provider Directory

National Provider Directory

Locations

8222 Douglas Ave
Ste 604
Dallas, TX 75225
Phone (214) 225-0848

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1229904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640131200000",
    "number": "1437395472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 195783",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752198613",
            "telephone_number": "214-225-0848",
            "fax_number": "214-345-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8222 DOUGLAS AVE STE 604",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752255937",
            "telephone_number": "214-345-7355",
            "fax_number": "469-250-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE H. SECREST M.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-22",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A",
        "authorized_official_last_name": "SECREST",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PSYCHATRIST",
        "authorized_official_telephone_number": "214-225-0848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "D5202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leslie H. Secrest,MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.