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NPI Code Detail

MEDICARE: ALEX LEONARD

MEDICARE: ALEX LEONARD
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
1225200000XPhysical Therapy Assistant2141107TX

General Provider Information

NPI Number : 1558903575
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEX LEONARD
Provider Business Mailing Address
First Line : 4225 GUADALUPE ST
Second Line :
City : AUSTIN
State : TX
Zip : 78751-4224
Country : US
Telephone Number : 737-204-0089
Fax Number :
Provider Business Practice Location Address
First Line : 4225 GUADALUPE ST
Second Line :
City : AUSTIN
State : TX
Zip : 78751-4224
Country : US
Telephone Number : 737-204-0089
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2019
Last Update Date : 10/10/2019

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Directions to “ ALEX LEONARD ” Practice Location

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