Sam, Leroy

Sam, Leroy is an individual health care provider with primary practice located at 6060 Dilbeck Ln , Dallas TX 75240-5351. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Sam, Leroy can be contacted via phone (972) 385-3643.

Contact Information

Primary practice address
6060 Dilbeck Ln Dallas TX 75240-5351
Phone: (972) 385-3643
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT6743 Texas

Profile Details

NPI number 1669925087
LBN Legal business name Sam, Leroy
Credentials ATC, LAT, LMT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2016
Last updated Aug 2nd, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669925087 NPPES
Texas Other 2255A2300X BLUECROSS BLUESHIELD

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