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NPI Code Detail

MEDICARE: DR. LEANNE HELLER M.D.

MEDICARE: DR. LEANNE HELLER 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
1174400000XSpecialistJ9509TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518982743
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LEANNE HELLER M.D.
Provider Business Mailing Address
First Line : PO BOX 1842
Second Line :
City : SAN MARCOS
State : TX
Zip : 78667-1842
Country : US
Telephone Number : 512-256-0318
Fax Number :
Provider Business Practice Location Address
First Line : 601 UNIVERSITY DR
Second Line : STUDENT HEALTH CENTER
City : SAN MARCOS
State : TX
Zip : 78666-4684
Country : US
Telephone Number : 512-245-2161
Fax Number : 512-245-9288
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2006
Last Update Date : 01/24/2022

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Directions to “ DR. LEANNE HELLER M.D.” Practice Location

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