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NPI Code Detail

MEDICARE: ANDRES LEAL M.D.

MEDICARE: ANDRES LEAL 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
1208600000XSurgery PhysicianBP1-0046044TX
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianR8773TX

General Provider Information

NPI Number : 1891131900
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDRES LEAL M.D.
Provider Business Mailing Address
First Line : 3601 4TH ST
Second Line : STOP 8312
City : LUBBOCK
State : TX
Zip : 79430-0002
Country : US
Telephone Number : 806-743-2373
Fax Number : 806-743-4354
Provider Business Practice Location Address
First Line : 8230 WALNUT HILL LN STE 208
Second Line :
City : DALLAS
State : TX
Zip : 75231-4409
Country : US
Telephone Number : 214-692-6135
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2013
Last Update Date : 08/14/2023

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