MEDICARE: LEONIDE GERARD TOUSSAINT III 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	207T00000X	Neurological Surgery Physician	43812	MN
2	207T00000X	Neurological Surgery Physician	M7699	TX

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

General Provider Information

NPI Number	:	1679552772
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEONIDE GERARD TOUSSAINT III M.D.

Provider Business Mailing Address
First Line	:	PO BOX 844658
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-4658
Country	:	US
Telephone Number	:	800-994-0371
Fax Number	:	254-215-9722

Provider Business Practice Location Address
First Line	:	3201 UNIVERSITY DR E
Second Line	:
City	:	BRYAN
State	:	TX
Zip	:	77802-3475
Country	:	US
Telephone Number	:	979-207-7400
Fax Number	:

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

Provider Enumeration Date	:	01/17/2006
Last Update Date	:	03/07/2024

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