Individual
GABRIELLE LEYSOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1651 ROCK PRAIRIE RD STE 103, COLLEGE STATION, TX 77845-8652
(979) 314-5400
Mailing address
1651 ROCK PRAIRIE RD STE 103, COLLEGE STATION, TX 77845-8652
(979) 314-5400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
PA19019
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/13/2023
Last updated
03/12/2026
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