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Individual
THOMAS MICHAEL LEATH
Active
Individual
THOMAS MICHAEL LEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
M4273
TX
207KA0200X
Allergy Physician
M4273
TX
2080P0201X
Pediatric Allergy/Immunology Physician
M4273
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
752741
MEDICARE PTAN
TX
Enumeration date
08/11/2006
Last updated
10/31/2023
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