Individual
ABIGAIL GRACE LEAFBLAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 MEDICAL PKWY, LAKEWAY, TX 78738-5621
(512) 571-5000
(512) 571-5198
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA18469
TX
Other
Enumeration date
08/09/2023
Last updated
02/05/2025
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