Provider Demographics
NPI:1629283528
Name:DAVIS, LESLEY R (MD)
Entity Type:Individual
Prefix:DR
First Name:LESLEY
Middle Name:R
Last Name:DAVIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:7400 FANNIN ST
Mailing Address - Street 2:STE 755
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-1920
Mailing Address - Country:US
Mailing Address - Phone:713-658-0358
Mailing Address - Fax:713-658-9414
Practice Address - Street 1:7400 FANNIN ST
Practice Address - Street 2:STE 755
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-1920
Practice Address - Country:US
Practice Address - Phone:713-658-0358
Practice Address - Fax:713-658-9414
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2011-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM6096207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology