MEDICARE: LEIGHA FOX MSN, APRN, FNP-C

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
1	163W00000X	Registered Nurse	886828	TX
2	363LF0000X	Family Nurse Practitioner	1049136	TX

General Provider Information

NPI Number	:	1376125138
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEIGHA FOX MSN, APRN, FNP-C

Provider Business Mailing Address
First Line	:	3309 ORLANDO ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77093-4854
Country	:	US
Telephone Number	:	713-699-9177
Fax Number	:

Provider Business Practice Location Address
First Line	:	3309 ORLANDO ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77093-4854
Country	:	US
Telephone Number	:	713-699-9177
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/22/2021
Last Update Date	:	11/07/2022

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