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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LERIS IDEHEN

Active Sole Proprietor

LERIS IDEHEN is a Occupational Medicine Clinic healthcare provider located in FORNEY, Texas. NPI 1699492603 is currently active in the NPPES registry. Verify at CMS.

Occupational Medicine Clinic · FORNEY, TX

Registration Details

NPI Number
1699492603
Provider Type
Individual
Gender
Male
NPI Issued
Oct 21, 2022 (3.8447793225385 yrs)
Last Updated
Oct 21, 2022
Sole Proprietor
Yes

Practice Information

Address
4302 CAT TAIL WAY
FORNEY, TX, 751262559
Browse TX providers · Browse ZIP 75126
Phone
2142836759
Primary Specialty
Occupational Medicine Clinic
261QX0100X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.