Healthcare Provider Details

I. General information

NPI: 1952928491
Provider Name (Legal Business Name): LEADS SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2020
Last Update Date: 07/01/2020
Certification Date: 07/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16802 COOK LANDING DR
RICHMOND TX
77407-2617
US

IV. Provider business mailing address

16802 COOK LANDING DR
RICHMOND TX
77407-2617
US

V. Phone/Fax

Practice location:
  • Phone: 832-759-2435
  • Fax: 832-553-3054
Mailing address:
  • Phone: 832-759-2435
  • Fax: 832-553-3054

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State

VIII. Authorized Official

Name: EYITAYO A LAOGUN
Title or Position: MANAGER
Credential:
Phone: 832-382-8867