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Individual
DR. LEONIDAS S ANDRES
Inactive
Individual
DR. LEONIDAS S ANDRES
Inactive
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
F3714
TX
207Q00000X
Family Medicine Physician
Primary
F3714
TX
208600000X
Surgery Physician
F3714
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139871124
—
TX
01
—
80A578
MEDICARE PTAN
TX
Enumeration date
07/08/2005
Last updated
07/25/2024
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