LESLIE PAUL DULA (NPI# 1598210817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598210817 |
| Entity Type | Individual |
| Full Name | LESLIE PAUL DULA |
| Credential | L.A.T. |
| Practice Address |
2211 Mckinley Ave Fort Worth TX 76164-7739 |
| Practice Telephone | 8178144086 |
| Mailing Telephone | 8178144086 |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2016-08-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | 2255A2300X | TX | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | ADVISORY BOARD OF ATHLETIC TRAINERS | AT1270 | 01 |
| Street Address |
2211 MCKINLEY AVE |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76164-7739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346740370 | Krystal Lynn Esparza | Specialist/Technologist | 2211 Mckinley Ave, Fort Worth, TX 76164-7739 | 2018-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225648561 | Karissa Brianna Rodriguez | Registered Nurse | 2215 Pearl Avenue, Fort Worth, TX 76164 | 2020-08-02 |
| 1972609501 | Patricia Gail Woolford | Dentist | 612 Nw 25th St, Ft Worth, TX 76164 | 2006-09-14 |
| 1215428511 | Veronica Salaices-fraire | Physician Assistant | 229 Ne 28th St, Fort Worth, TX 76164 | 2018-05-22 |
| 1831134667 | Rose S Simonian | Obstetrics & Gynecology | 2200 Ephriham Ave, Fort Worth, TX 76164-6642 | 2006-06-17 |
| 1316457278 | Jamie Renee Shields | Nurse Practitioner | 2200 Ephriham Ave, Fort Worth, TX 76164-6642 | 2017-10-05 |
| 1457448482 | Glory Lynn Windmiller | Dentist | 1966 Ephriham Ave, Fort Worth, TX 76164-6670 | 2006-10-10 |
| 1881611382 | Melissa Kurkjian Greer | Internal Medicine | 1950 Ephriham Ave, Fort Worth, TX 76164-6670 | 2006-07-17 |
| 1053367763 | Usrc Tarrant Lp | Clinic/Center | 1978 Ephriham Ave, Fort Worth, TX 76164-6670 | 2006-05-25 |
| 1356898092 | Yaimi Jaramillo-ortiz | Physician Assistant | 1950 Ephriham Ave, Fort Worth, TX 76164-6670 | 2016-09-09 |
| 1700044971 | Atul M Masters | Dentist | 1612 Nw 28th St, Fort Worth, TX 76164-6843 | 2008-05-23 |
| Find all providers in zip 76164 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548697667 | Keith Krukowski | Specialist/Technologist, Other | 10221 Crawford Farms Dr, Fort Worth, TX 76244-8566 | 2013-10-03 |
| 1881992097 | Jose Santana Jr. | Specialist/Technologist, Other | 10317 Dallam Ln, Fort Worth, TX 76108-4975 | 2011-03-11 |
| 1346482205 | Elite Monitoring Professional | Specialist/Technologist, Other | 8500 Prairie Dawn Dr, Fort Worth, TX 76131-5350 | 2009-03-24 |
| 1558961227 | Mark David Forester | Specialist/Technologist, Other | 1822 N Sylvania Ave, Fort Worth, TX 76111-2755 | 2020-10-30 |
| 1629557301 | Jon Moench | Specialist/Technologist, Other | 6551 Harris Pkwy Ste 250, Fort Worth, TX 76132-6115 | 2018-08-13 |
| 1063792943 | Bruce Dodd | Specialist/Technologist, Other | 100 W Rosedale St, Fort Worth, TX 76104-4852 | 2011-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649891169 | Edison Bio LLC | Specialist/Technologist, Other | 2700 Post Oak Blvd, Galleria Office Tower I, Houston, TX 77056 | 2020-05-06 |
| 1902456197 | Jimmie C Salazar | Specialist/Technologist, Other | 301 Tubb Loop Rd, Big Spring, TX 79720-0658 | 2019-09-19 |
| 1821646480 | Julio Rodriguez | Specialist/Technologist, Other | 7111 Elm St, Frisco, TX 75034-4234 | 2019-08-27 |
| 1700438074 | Myindustries, LLC | Specialist/Technologist, Other | 1151 N Buckner Blvd Ste 407, Dallas, TX 75218-3407 | 2019-07-16 |
| 1942862438 | Md Stream, LLC | Specialist/Technologist, Other | 2129 Fm 2920 Rd # 190-279, Spring, TX 77388-3671 | 2019-07-03 |
| 1427610575 | Anna L Landry | Specialist/Technologist, Other | 1432 Commerce, Buffalo, TX 75131 | 2019-06-28 |
| 1194381871 | Destry Graham Flatt | Specialist/Technologist, Other | 720 1/2 Rollingbrook Dr, Baytown, TX 77521-4059 | 2019-05-17 |
| 1881150670 | Ada J Smith | Specialist/Technologist, Other | 6414 Annunciation St, Houston, TX 77016-2102 | 2019-02-16 |
| 1952883027 | Jennifer Mortensen | Specialist/Technologist, Other | 2330 Timber Shadows Dr Ste 102, Kingwood, TX 77339-2675 | 2018-09-05 |
| 1255821435 | Axiom Health Services, LLC | Specialist/Technologist, Other | 5422 Alpha Rd, Dallas, TX 75240 | 2018-05-14 |
| Find all providers with the same taxonomy | ||||
| City | FORT WORTH |
| Zip Code | 76164 |
Please comment or provide details below to improve the information on LESLIE PAUL DULA.
| 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.