DR. LEESA BLAKE CONDRY (NPI# 1073746160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073746160 |
| Entity Type | Individual |
| Full Name | DR. LEESA BLAKE CONDRY |
| Credential | M.D. |
| Practice Address |
3605 Lexington Ave Dallas TX 75205-3916 |
| Practice Telephone | 2145267995 |
| Practice Fax Number | 2145221460 |
| Mailing Telephone | 2145267995 |
| Mailing Fax Number | 2145221460 |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2009-08-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
E9043 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
3605 LEXINGTON AVE |
| City | DALLAS |
| State | TX |
| Zip Code | 75205-3916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487298337 | Nap Diagnostics, Pllc | Electrodiagnostic Medicine | 4514 Cole Avenue Suite 600, Dallas, TX 75205 | 2019-11-04 |
| 1639578123 | Adam Martin | Specialist/Technologist, Other | 3001 Monticello, 210, Dallas, TX 75205 | 2014-08-20 |
| 1639598725 | Henry Brown Mobley | Internal Medicine | 3416 Cornell Ave., Dallas, TX 75205 | 2014-04-16 |
| 1780016857 | Heather Gano, Md, Pllc | Anesthesiology | 4447 N Central Expy Suite 110 #264, Dallas, TX 75205 | 2013-07-31 |
| 1134463961 | Dallas Emergency Dental | Dentist | 3001 Knox Ste. # 300 B, Dallas, TX 75205 | 2012-11-16 |
| 1982957270 | Ziba Tarighi Tarighi | Physician Assistant | 3414 Milton, University Park, TX 75205 | 2012-10-24 |
| 1154671113 | Bk Neuromonitoring, Pllc | Psychiatry & Neurology | 25 Highland Park Village, Suite 100 #566, Dallas, TX 75205 | 2012-09-17 |
| 1548574148 | Gd Radiology, Pa | Radiology | 5709 Hillcrest Ave. #d, Dallas, TX 75205 | 2010-08-06 |
| 1063746006 | Andrew W Randall Dds & Assoicates, PC | Dentist | 6805 Hillcrest Avenue, Suite 218, Dallas, TX 75205 | 2009-09-23 |
| 1902031875 | Dan Allen Myers | Psychiatry & Neurology | 5110 Tracy Street, Dallas, TX 75205 | 2009-05-21 |
| Find all providers in zip 75205 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285279208 | Jill Bynum Farmar | Obstetrics & Gynecology | 4611 Travis St Apt 7, Dallas, TX 75205-5581 | 2019-11-13 |
| 1295221786 | Cornerstonemd,pllc | Obstetrics & Gynecology | 12222 N Central Expy Ste 140, Dallas, TX 75243 | 2018-07-08 |
| 1982953469 | Modern Gynecology, Pllc | Obstetrics & Gynecology | 3822 Bowser Ave., Dallas, TX 75219-4301 | 2012-08-30 |
| 1427285915 | Martin Leon Freifeld | Obstetrics & Gynecology | 32 Shrine Vw, Dallas, PA 18612-9213 | 2009-06-11 |
| 1740463314 | Charles P. Guerriero IIi, Md | Obstetrics & Gynecology | 8315 Walnut Hill Ln Ste 105, Dallas, TX 75231-4248 | 2007-12-06 |
| 1609079805 | Angela F Walker | Obstetrics & Gynecology | 7777 Forest Ln D570, Dallas, TX 75230-2559 | 2007-06-06 |
| 1962619791 | Nancy Sue Silverblatt | Obstetrics & Gynecology | 10529 Sandpiper Ln, Dallas, TX 75230-4218 | 2007-05-17 |
| 1154309656 | Glen Wayne Heckman | Obstetrics & Gynecology | 3801 Gaston Avenue, Suite 200, Dallas, TX 75246-1619 | 2006-01-04 |
| 1477184398 | The Livingston Agency, Pllc | Obstetrics & Gynecology | 16970 Dallas Pkwy Ste 500, Dallas, TX 75248-1983 | 2020-01-29 |
| 1558826933 | Kamilia Tagi Smith Md Pllc | Obstetrics & Gynecology | 3611 Swiss Ave Ste 201, Dallas, TX 75204-6245 | 2019-02-09 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.