MEDICARE: EDISON LEUNG MD PHD

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	2084P0800X	Psychiatry Physician	2025-04278	NC
2	2084P0800X	Psychiatry Physician	A204593	CA
3	2084P0800X	Psychiatry Physician	MD-25518	HI
4	2084P0800X	Psychiatry Physician	U2917	TX
5	2084P0800X	Psychiatry Physician	340610	NY
6	2084P0800X	Psychiatry Physician	246396	AK

General Provider Information

NPI Number	:	1497215560
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDISON LEUNG MD PHD

Provider Business Mailing Address
First Line	:	PO BOX 307
Second Line	:
City	:	KEMAH
State	:	TX
Zip	:	77565-0307
Country	:	US
Telephone Number	:
Fax Number	:	771-999-7564

Provider Business Practice Location Address
First Line	:	2320 NAOMI ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-4005
Country	:	US
Telephone Number	:	347-961-8678
Fax Number	:

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

Provider Enumeration Date	:	03/23/2019
Last Update Date	:	01/13/2026

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