MEDICARE: DR. LESLIE JULIAN GARB 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
1	207Q00000X	Family Medicine Physician	E8494	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	080182302	OTHER	TX	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	881551	OTHER	TX	BCBS OF TEXAS

General Provider Information

NPI Number	:	1245239672
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LESLIE JULIAN GARB M.D.

Provider Business Mailing Address
First Line	:	5420 DASHWOOD DR
Second Line	:	SUITE 100
City	:	HOUSTON
State	:	TX
Zip	:	77081-5357
Country	:	US
Telephone Number	:	713-664-0719
Fax Number	:	713-664-1272

Provider Business Practice Location Address
First Line	:	5420 DASHWOOD DR
Second Line	:	SUITE 100
City	:	HOUSTON
State	:	TX
Zip	:	77081-5357
Country	:	US
Telephone Number	:	713-664-0719
Fax Number	:	713-664-1272

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	07/08/2007

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Directions to “ DR. LESLIE JULIAN GARB M.D.” Practice Location

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