Leslie Wilmot Nelson MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

L9825 Issued in TX

Legal business name

LESLIE WILMOT NELSON MD PA

Practice address

909 Medical Centre Dr
Ste a
Arlington, TX 76012-4757

Phone

(817) 274-5580

Fax

(817) 274-5540

NPI assigned

Mar 26, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lesile Wilmot Nelson, M.D

Title

Executive President

Phone

(817) 548-6648

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leslie Nelson, MD

  • Internal Medicine Physician
  • Desoto, TX
  • NPI 1700826088
  Medicare reassignment NPD

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710004551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2803 RIVERSIDE DR",
            "address_2": "#1905",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750507820",
            "telephone_number": "817-274-5580",
            "fax_number": "817-633-8229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 MEDICAL CENTRE DR",
            "address_2": "STE A",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760124757",
            "telephone_number": "817-274-5580",
            "fax_number": "817-274-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE WILMOT NELSON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "LESILE",
        "authorized_official_middle_name": "WILMOT",
        "authorized_official_title_or_position": "EXECUTIVE PRESIDENT",
        "authorized_official_telephone_number": "817-548-6648",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L9825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lai Yee Leong, PHARM. D
• Ramona Leonhardt, LPC
• Osiris Mael Lerma
• Karen Marie Leroy, APRN
• Edgar Joan Lescure, NP
• Cordell Wayne Lester, DC
• Leandra Lester, LPC-ASSOCIATE
• Shawn Lett, D.C.
• Cheryl E Levine, N.P.
• Heather Nicole Levine, MS., CCC-SLP

• Internal Medicine Physician in Arlington, TX
• Providers in Arlington, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.