Individual
CAROL ANN LEIBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5702 E CENTRAL TEXAS EXPY, KILLEEN, TX 76543-5500
(254) 680-7350
(254) 680-7318
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP131069
TX
Other
Enumeration date
06/06/2016
Last updated
01/21/2025
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