Organization
ST M HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRK LEBLANC MD (OWNER)
(469) 964-4902
Entity
Organization
Contact information
Practice address
1616 GATEWAY BLVD STE D, RICHARDSON, TX 75080-3529
(469) 964-4902
(877) 203-5846
Mailing address
1616 GATEWAY BLVD STE D, RICHARDSON, TX 75080-3529
(469) 964-4902
(877) 203-5846
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
164X00000X
Licensed Vocational Nurse
—
—
208D00000X
General Practice Physician
Primary
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
02/28/2024
Last updated
03/14/2024
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