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NPI Code Detail

MEDICARE: STACY LEUNG MD, MBA

MEDICARE:   STACY  LEUNG  MD, MBA
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
1207QS0010XSports Medicine (Family Medicine) PhysicianS9338TX
2207Q00000XFamily Medicine PhysicianS9338TX

General Provider Information

NPI Number : 1881115111
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACY LEUNG MD, MBA
Provider Business Mailing Address
First Line : 6465 S SHORE BLVD STE 500
Second Line :
City : LEAGUE CITY
State : TX
Zip : 77573-5528
Country : US
Telephone Number : 281-538-7735
Fax Number : 281-538-3936
Provider Business Practice Location Address
First Line : 6465 S SHORE BLVD STE 500
Second Line :
City : LEAGUE CITY
State : TX
Zip : 77573-5528
Country : US
Telephone Number : 815-387-7352
Fax Number : 281-538-3936
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2017
Last Update Date : 09/11/2022

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Directions to “ STACY LEUNG MD, MBA” Practice Location

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