NPI | 1225273253 |
---|---|
Former Legal Business Name | MARK C. LESKO, DC PC |
Entity Type | Organization |
Authorized Contact | MARK CHARLES LESKO Owner / President 512-835-6077 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 4597) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1178892) |
Enumeration Date | 2008-12-04 |
Last Update Date | 2012-03-01 |