MARK ELLIOTT LECLAIR NP NPI 1174017099

NPI Information

NPI: 1174017099
Provider Name: MARK ELLIOTT LECLAIR, NP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Organization: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER

PECOS Registration: Yes

Address:
1935 MEDICAL DISTRICT DR
DALLAS, TX
ZIP 75235
Phone: (214) 456-7000
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Mark Elliott Leclair, NP is a pediatrics nurse practitioner in Dallas, TX with 7 years of experience. Mark Elliott Leclair, NP NPI is 1174017099. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1935 MEDICAL DISTRICT DR
DALLAS, TX
ZIP 75235-701
Phone: (214) 456-7000

The NPI 1174017099 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/15/2018 and was last updated on 6/15/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	AP135354	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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