Healthcare Provider Details

I. General information

NPI: 1205325248
Provider Name (Legal Business Name): LEIGH ANN DOWNEY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2018
Last Update Date: 05/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

602 W SEMANDS ST
CONROE TX
77301-1867
US

IV. Provider business mailing address

5910 HAVENWOODS DR
HOUSTON TX
77066-2335
US

V. Phone/Fax

Practice location:
  • Phone: 936-756-5598
  • Fax:
Mailing address:
  • Phone: 281-216-4453
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number640813
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: