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NPI Code Detail

MEDICARE: DR. DEWITT RICHARD LEACHMAN M.D.

MEDICARE: DR. DEWITT RICHARD LEACHMAN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease PhysicianE8653TX
2174400000XSpecialistE8653TX
3207RI0011XInterventional Cardiology PhysicianE8653TX

General Provider Information

NPI Number : 1184647018
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEWITT RICHARD LEACHMAN M.D.
Provider Business Mailing Address
First Line : 6624 FANNIN ST
Second Line : SUITE 2600
City : HOUSTON
State : TX
Zip : 77030-2338
Country : US
Telephone Number : 713-790-9401
Fax Number : 713-790-0353
Provider Business Practice Location Address
First Line : 6624 FANNIN ST
Second Line : SUITE 2600
City : HOUSTON
State : TX
Zip : 77030-2338
Country : US
Telephone Number : 713-790-9401
Fax Number : 713-790-0353
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2006
Last Update Date : 01/23/2023

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