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MAURICE N LEIBMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12727 KIMBERLEY LN, 202, HOUSTON, TX 77024-4047
(713) 275-2990
(713) 275-1694
Mailing address
12727 KIMBERLEY LN, 202, HOUSTON, TX 77024-4047
(713) 275-2990
(713) 275-1694

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
F4926
TX
207VG0400X
Gynecology Physician
Primary
F4926
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1319485-05
TX
01
160006654-
MEDICARE RR-SW LOCATION
TX
01
4565782-002
CIGNA
TX
01
682896
AETNA
TX
01
88W578
BC/BS
TX
01
TXB113640
MEDICARE PTAN
TX
Enumeration date
07/20/2005
Last updated
02/23/2011
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