SearchTexas225X00000X

Leslie Gavin

NPI 1659618445 · on the registry since 2013 · sole proprietor

Practice

Address
1000 Saint Louis Ave
Suite 102
Fort Worth, TX 76104
Phone
(817) 921-5020
Fax
(817) 789-6849
Organisation at this address
Bainbridge Dialysis Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
55

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-11-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas