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NPI Code Detail

MEDICARE: DR. LESCA CHERISE HADLEY

MEDICARE: DR. LESCA CHERISE HADLEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207QG0300XGeriatric Medicine (Family Medicine) PhysicianK7754TX
2207Q00000XFamily Medicine PhysicianK7754TX

General Provider Information

NPI Number : 1114916715
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LESCA CHERISE HADLEY
Provider Business Mailing Address
First Line : PO BOX 733382
Second Line :
City : DALLAS
State : TX
Zip : 75373-3382
Country : US
Telephone Number : 214-884-4700
Fax Number : 214-884-4761
Provider Business Practice Location Address
First Line : 3500 W WHEATLAND RD
Second Line :
City : DALLAS
State : TX
Zip : 75237-3460
Country : US
Telephone Number : 214-947-5400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2005
Last Update Date : 09/07/2023

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Directions to “ DR. LESCA CHERISE HADLEY ” Practice Location

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