Provider Demographics
NPI:1093756769
Name:LESLIE, ZACHARY ZANE (DC)
Entity Type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:ZANE
Last Name:LESLIE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 WILLOW CREEK PKWY
Mailing Address - Street 2:STE C
Mailing Address - City:PALESTINE
Mailing Address - State:TX
Mailing Address - Zip Code:75801-4387
Mailing Address - Country:US
Mailing Address - Phone:903-729-5051
Mailing Address - Fax:903-729-0316
Practice Address - Street 1:320 W PALESTINE AVE
Practice Address - Street 2:
Practice Address - City:PALESTINE
Practice Address - State:TX
Practice Address - Zip Code:75801-7534
Practice Address - Country:US
Practice Address - Phone:903-729-5051
Practice Address - Fax:903-729-0316
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-10
Last Update Date:2018-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10275111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor