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NPI Code Detail

MEDICARE: HAROLD ASHLEY LEDGER DPM

MEDICARE:   HAROLD ASHLEY LEDGER  DPM
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
1213E00000XPodiatrist1582TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3P00142246OTHERTXMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2200864279OTHERTXHUMANA/MILITARY-TRICARE
48M5670OTHERTXBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1679556922
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAROLD ASHLEY LEDGER DPM
Provider Business Mailing Address
First Line : PO BOX 11538
Second Line :
City : KILLEEN
State : TX
Zip : 76547-1538
Country : US
Telephone Number : 254-245-9177
Fax Number : 254-245-9178
Provider Business Practice Location Address
First Line : 800 W CENTRAL TEXAS EXPY
Second Line : SUITE 155
City : HARKER HEIGHTS
State : TX
Zip : 76548-1899
Country : US
Telephone Number : 254-519-3668
Fax Number : 254-501-3668
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2005
Last Update Date : 09/28/2017

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Directions to “ HAROLD ASHLEY LEDGER DPM” Practice Location

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