Provider Demographics
NPI:1053735001
Name:WESLEY, KAMEL
Entity type:Individual
Prefix:MR
First Name:KAMEL
Middle Name:
Last Name:WESLEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 E LEDBETTER DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75216-7408
Mailing Address - Country:US
Mailing Address - Phone:214-376-7050
Mailing Address - Fax:214-372-1434
Practice Address - Street 1:2200 E LEDBETTER DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75216-7408
Practice Address - Country:US
Practice Address - Phone:214-376-7050
Practice Address - Fax:214-372-1434
Is Sole Proprietor?:No
Enumeration Date:2014-02-11
Last Update Date:2014-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator