Healthcare Provider Details

I. General information

NPI: 1023018165
Provider Name (Legal Business Name): DR. LEROY L STERLING
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2005
Last Update Date: 03/12/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 CRAWFORD ST STE 1700
HOUSTON TX
77002-9000
US

IV. Provider business mailing address

PO BOX 25113
HOUSTON TX
77265-5113
US

V. Phone/Fax

Practice location:
  • Phone: 713-622-4505
  • Fax: 713-877-0828
Mailing address:
  • Phone: 713-622-4505
  • Fax: 713-877-0828

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberG2233
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: