MEDICARE: MRS. LESLIE MARIE PHILLIPS RN

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
1	163WM0705X	Medical-Surgical Registered Nurse	232148	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0079KE	OTHER	TX	BCBS OF TEXAS PROVIDER #

General Provider Information

NPI Number	:	1225091879
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LESLIE MARIE PHILLIPS RN

Provider Business Mailing Address
First Line	:	PO BOX 26617
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76126-9998
Country	:	US
Telephone Number	:	817-800-8386
Fax Number	:	817-295-4992

Provider Business Practice Location Address
First Line	:	10017 STONELEIGH DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76126
Country	:	US
Telephone Number	:	817-800-8386
Fax Number	:	817-295-4992

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1932791753 — MRS. KATHRYN ANNE RAMIREZ LPC-A
Practice Location Address:

7550 FM 1187 W
FORT WORTH, TX
76126-5109

Practice Phone: 888-744-2779
Practice Fax:

1447259700 — NALINI P REDDY MD
Practice Location Address:

9460 BELLA TERRA DR
FORT WORTH, TX
76126-1902

Practice Phone: 817-244-5685
Practice Fax: 817-244-5685

1871581082 — MRS. DONNA KAYE AUSTIN FNP
Practice Location Address:

8840 BENBROOK BLVD , STE 101
FORT WORTH, TX
76126-2173

Practice Phone: 817-813-7101
Practice Fax:

1518182518 — SUSAN CONROY DO
Practice Location Address:

100 ALEDO GROVE CT
FORT WORTH, TX
76126-6049

Practice Phone: 817-320-9956
Practice Fax:

1609087519 — CAROLE-ANNE BOULDIN MD
Practice Location Address:

101 WESTERN BREEZE DR
FORT WORTH, TX
76126-6059

Practice Phone: 214-914-4712
Practice Fax:

1194918904 — H&PC OF AMERICA, LLC
Practice Location Address:

517 COUNCIL DR
FORT WORTH, TX
76126-4331

Practice Phone: 817-886-3748
Practice Fax: 817-886-6899

Directions to “ MRS. LESLIE MARIE PHILLIPS RN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.