P Praxis·MD
● Active Type 1 · Individual

Leris Idehen

Clinic/Center·Forney, TX· NPI 1699492603 · Enumerated 2022 · 3 years on NPI
Idehen is 1 of 2 clinic/center providers in Forney and 1 of 251 in Texas.
NPI age
3 years
Enumerated 2022-10-21
Primary specialty
Clinic/Center
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2022-10-21
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 251 active clinic/center providers in Texas.

NPI age
3 years
↓ 9 yr below median (12 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
57% of peers hold subspecialties

NPI lifetime · 2022 → 2026

2022-10Enumerated in NPPES
2022 2026

Where they practice

Practice location
4302 Cat Tail Way
Forney, TX 751262559
📞 2142836759
Mailing address
4302 Cat Tail Way
Forney, TX 751262559

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QX0100X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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