Individual
DR. THERESA GAN LEUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
D0070675
MD
207W00000X
Ophthalmology Physician
Primary
Q5212
TX
207WX0108X
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
Q5212
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036176300
—
MD
05
—
358593701
—
TX
01
—
D0070675
STATE LICENSE
MD
Enumeration date
08/03/2008
Last updated
04/12/2017
Update your record
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