Leslie Paul Dula, L.A.T.

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

License

2255A2300X Issued in TX

Practice address

2211 McKinley Ave
Fort Worth, TX 76164-7739

Phone

(817) 814-4086

NPI assigned

Aug 16, 2016

Last updated

Aug 16, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471305600000",
    "number": "1598210817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 MCKINLEY AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761647739",
            "telephone_number": "817-814-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 MCKINLEY AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761647739",
            "telephone_number": "817-814-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULA",
        "first_name": "LESLIE",
        "middle_name": "PAUL",
        "credential": "L.A.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-16",
        "last_updated": "2016-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "TX",
            "license": "2255A2300X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVISORY BOARD OF ATHLETIC TRAINERS",
            "identifier": "AT1270",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian William Dugoni, D.D.S., M.S.D.
• Brittany Duke, LPC
• Emily Duke
• Stevan Autrey Duke, DPT
• Taylor Dukes
• Troy M. Duley, PA C
• Diane Dumas
• Debra Jean Dunbar, LPC
• Amanda Katherine Duncan
• Anissa Billee' Duncan, LPC

• Other Specialist/Technologist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Other Specialist/Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; 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.