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NPI Code Detail

MEDICARE: LEEROY MCCURLEY MD

MEDICARE:   LEEROY  MCCURLEY  MD
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
1207Q00000XFamily Medicine PhysicianH0618TX

General Provider Information

NPI Number : 1457337164
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEEROY MCCURLEY MD
Provider Business Mailing Address
First Line : 3121 S CARRIER PKWY
Second Line :
City : GRAND PRAIRIE
State : TX
Zip : 75052-3734
Country : US
Telephone Number : 972-226-5354
Fax Number : 972-266-7876
Provider Business Practice Location Address
First Line : 775 W WESTCHESTER PKWY
Second Line : #102
City : GRAND PRAIRIE
State : TX
Zip : 75052-2856
Country : US
Telephone Number : 972-266-5354
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2005
Last Update Date : 12/13/2011

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Directions to “ LEEROY MCCURLEY MD” Practice Location

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