MEDICARE: LEILA ANN SUKI DDS PLLC

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	332BC3200X	Customized Equipment (DME)
2	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1629544721
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEILA ANN SUKI DDS PLLC

Provider Business Mailing Address
First Line	:	2424 W HOLCOMBE BLVD STE 202
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-1935
Country	:	US
Telephone Number	:	713-664-1004
Fax Number	:

Provider Business Practice Location Address
First Line	:	2424 W HOLCOMBE BLVD STE 202
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-1935
Country	:	US
Telephone Number	:	713-664-1004
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LEILA ANN SUKI
Credential	:	DDS
Telephone Number	:	713-664-1004

Provider Enumeration Date	:	10/17/2018
Last Update Date	:	09/13/2024

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