MEDICARE: DANIEL JAMES LEEMAN M.D.

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	207YX0905X	Otolaryngology/Facial Plastic Surgery Physician	L0373	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8A3850	OTHER	TX	BCBS PROVIDER #
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508849696
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL JAMES LEEMAN M.D.

Provider Business Mailing Address
First Line	:	701 E FM 1626 STE 204
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78748-2892
Country	:	US
Telephone Number	:	512-478-2273
Fax Number	:	512-472-0921

Provider Business Practice Location Address
First Line	:	1502 BLUE RIDGE DR STE 201
Second Line	:
City	:	GEORGETOWN
State	:	TX
Zip	:	78626-1002
Country	:	US
Telephone Number	:	512-478-2273
Fax Number	:	512-472-0921

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

Provider Enumeration Date	:	11/22/2005
Last Update Date	:	10/14/2025

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