Individual
JORGE MARTINEZ-LEYVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8001 YOUREE DR, SUITE 850, SHREVEPORT, LA 71115-2302
(318) 424-2623
(318) 227-1357
Mailing address
8001 YOUREE DR, STE 850, SHREVEPORT, LA 71115-2327
(318) 424-2623
(318) 227-1357
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
R4212
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1196789
—
LA
Enumeration date
08/31/2006
Last updated
05/17/2016
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