Liesel E.a. Leedy Md Pa

NPI 1043490188 - Anesthesiology - 207L00000X

NPI Details
NPI 1043490188
Enumeration Date 11/06/2007
Last Updated 11/11/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LIESEL E.A. LIESEL
Position PRESIDENT
Phone (936) 564-4611
Fax
Practice Location
1204 N MOUND ST
NACOGDOCHES TX, 75961-4027, US
Phone (936) 564-4611
Fax
Business Location
PO BOX 635151
NACOGDOCHES TX, 75963-5151, US
Phone (936) 462-7844
Fax (936) 462-7855
Toxanomy
Taxonomy Code 207L00000X
License State Texas
License Number J4308
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According to our database, Liesel E.a. Leedy Md Pa NPI is 1043490188, taxonomy code is 207L00000X and license number is J4308, license state is located at Texas. Liesel E.a. Leedy Md Pa physically located at 1204 N Mound St, Nacogdoches TX, 75961-4027. NPI Number 1033115704 has the healthcare provider type.

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1043490188 NPI number is provided on an as is basis without warranty of any kind. 1043490188 is maintained by the National Plan & Provider Enumeration System. The contents of Liesel E.a. Leedy Md Pa are for informational purposes only.