Organization
GRACIELA M LEIJA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRACIELA M LEIJA M.D. (OWNER)
(956) 504-4800
Entity
Organization
Contact information
Practice address
95 E. PRICE RD., STE. E, BROWNSVILLE, TX 78521-3565
(956) 504-4800
(956) 504-4801
Mailing address
95 E. PRICE RD., STE. E, BROWNSVILLE, TX 78521-3565
(956) 504-4800
(956) 584-4801
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45D1083322
CLIA CERTIFICATE
TX
Enumeration date
03/26/2008
Last updated
06/22/2023
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