LESLIE R. DEMETRI, SR. MD – NPI #1760503577
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

LESLIE DEMETRI, SR. is a physician located in KYLE, TX. NPPES has assigned the NPI number 1760503577 to LESLIE DEMETRI, SR. on April 02, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LESLIE DEMETRI, SR. below.

NPI Profile for
LESLIE R. DEMETRI, SR.

NPI Number
1760503577
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
LESLIE R. DEMETRI, SR.
Credentials
MD
Primary location
2810 DACY LN
KYLE, TX 78640-6322
Phone: (512) 268-8900 Fax: (512) 268-2250
Mailing address
3066 E COMMERCE ST
SAN ANTONIO, TX 78220-1013
Phone: (210) 233-7000 Fax: (210) 277-6387
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
TX D9417

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.