Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
MR. LEONARD Q GRUPPO JR.
Active
Individual
MR. LEONARD Q GRUPPO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA02885
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60430851
—
NM
Enumeration date
10/26/2005
Last updated
05/06/2023
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