Individual
ANDRES ALBERTO LEOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2409 UNIVERSITY AVE, AUSTIN, TX 78712-1112
(512) 471-1737
Mailing address
2333 JULIETTE LOW DR, EL PASO, TX 79936-4095
(915) 319-0787
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
35462
TX
Other
Enumeration date
03/29/2018
Last updated
03/29/2018
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