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NPI Code Detail

MEDICARE: MS. STACY L LEONARD MD

MEDICARE: MS. STACY L LEONARD MD
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
1207V00000XObstetrics & Gynecology PhysicianK8289TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1891890786
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. STACY L LEONARD MD
Provider Business Mailing Address
First Line : 2604 SAINT MICHAEL DR STE 410
Second Line :
City : TEXARKANA
State : TX
Zip : 75503-2378
Country : US
Telephone Number : 903-794-0888
Fax Number : 903-794-0894
Provider Business Practice Location Address
First Line : 5002 COWHORN CREEK RD
Second Line :
City : TEXARKANA
State : TX
Zip : 75503-9766
Country : US
Telephone Number : 903-614-3000
Fax Number : 903-614-3525
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2006
Last Update Date : 01/07/2026

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Directions to “ MS. STACY L LEONARD MD” Practice Location

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