Individual
DR. STACY LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2630 EXPOSITION BLVD, SUITE 116, AUSTIN, TX 78703-1700
(512) 474-2488
(512) 474-2824
Mailing address
2630 EXPOSITION BLVD, SUITE 116, AUSTIN, TX 78703-1700
(512) 474-2488
(512) 474-2824
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
J4299
TX
2084P0804X
Child & Adolescent Psychiatry Physician
J4299
TX
Other
Enumeration date
11/02/2011
Last updated
11/02/2011
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