Provider Demographics
NPI:1639435092
Name:CONROY, LESLIE ANN SCHORNACK (MD)
Entity Type:Individual
Prefix:
First Name:LESLIE
Middle Name:ANN SCHORNACK
Last Name:CONROY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LESLIE
Other - Middle Name:ANN
Other - Last Name:SCHORNACK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:9330 LBJ FWY STE 800
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-4310
Mailing Address - Country:US
Mailing Address - Phone:972-792-5700
Mailing Address - Fax:888-510-3225
Practice Address - Street 1:9330 LBJ FWY STE 800
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-4310
Practice Address - Country:US
Practice Address - Phone:972-792-5700
Practice Address - Fax:888-510-3225
Is Sole Proprietor?:No
Enumeration Date:2012-04-10
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA305544207L00000X
TN52089207L00000X
TXS7859207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology