Provider Demographics
NPI:1992955223
Name:R ANTON LESTER JR & ASSOCIATES
Entity type:Organization
Organization Name:R ANTON LESTER JR & ASSOCIATES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:R
Authorized Official - Middle Name:ANTON
Authorized Official - Last Name:LESTER
Authorized Official - Suffix:III
Authorized Official - Credentials:DO
Authorized Official - Phone:903-592-8101
Mailing Address - Street 1:PO BOX 6808
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75711-6808
Mailing Address - Country:US
Mailing Address - Phone:903-592-8101
Mailing Address - Fax:903-526-0565
Practice Address - Street 1:214 W HOUSTON ST
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75702-8136
Practice Address - Country:US
Practice Address - Phone:903-592-8101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-23
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty