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General NPI Number Information
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NPI Number | 1093504276
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Entity Type | Individual
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Provider Name | LEAH MEADOR LOPEZ CRNA
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Gender | Female
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Dates
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Enumeration Date | 05/05/2025
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Last Update Date | 07/24/2026
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Provider Practice Location Address
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Address Line | 5501 S MCCOLL RD
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City | EDINBURG
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State | TX
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Zip | 78539-9152
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Country | US
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Telephone | 956-362-4150
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Fax | 956-362-3829
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Provider Business Mailing Address
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Address Line | 3131 TIMMONS LN APT 1228
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City | HOUSTON
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State | TX
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Zip | 77027-6076
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Country | US
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Telephone | 281-682-7417
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 960953
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 1204498
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 1204498
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License Number State | TX
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