Provider Demographics
NPI:1639141484
Name:BEEMAN, LESLIE KAY (AT,C)
Entity Type:Individual
Prefix:
First Name:LESLIE
Middle Name:KAY
Last Name:BEEMAN
Suffix:
Gender:F
Credentials:AT,C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1932 SUN SPOT ST
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79938-4603
Mailing Address - Country:US
Mailing Address - Phone:915-856-3540
Mailing Address - Fax:
Practice Address - Street 1:2430 MCRAE BLVD
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-6020
Practice Address - Country:US
Practice Address - Phone:915-434-4152
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT1544225500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225500000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/Technologist