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Individual

ELLEN IMBER LEONARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6711 S NEW BRAUNFELS AVE, SAN ANTONIO, TX 78223-3005
(210) 347-3440
Mailing address
134 ROCKHILL DR, SAN ANTONIO, TX 78209-2220
(210) 862-7963

Taxonomy

Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
H0558
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1295800-02
TX
01
H0558
STATE MEDICAL LICENSE
TX
Enumeration date
11/10/2005
Last updated
10/03/2024
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