Individual
FAH S LEONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2140 E SOUTHLAKE BLVD # L-824, SOUTHLAKE, TX 76092-6516
(068) 236-5517
Mailing address
2140 E SOUTHLAKE BLVD # L-824, SOUTHLAKE, TX 76092-6516
(806) 236-5517
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036172895
IL
2085R0202X
Diagnostic Radiology Physician
22746
OK
2085R0202X
Diagnostic Radiology Physician
C1-0027653
DE
2085R0202X
Diagnostic Radiology Physician
EMC0006147
MI
2085R0202X
Diagnostic Radiology Physician
Primary
L4523
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100212100A
—
OK
01
—
128699100
FIRSTCARE
—
05
—
151157802
—
TX
05
—
65050347
—
NM
01
—
8F7702
BLUE CROSS
TX
01
—
MDL4523
WORKERS COMPENSATION
TX
Enumeration date
03/29/2006
Last updated
07/24/2025
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