Individual
DR. LEIGH ANNE FREDHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8107 SPRINGDALE RD STE 110, AUSTIN, TX 78724-2437
(512) 651-8644
(512) 651-8635
Mailing address
8107 SPRINGDALE RD STE 110, AUSTIN, TX 78724-2437
(512) 651-8644
(512) 651-8635
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
J4126
TX
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
J4126
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135697409
—
TX
05
—
135697410
—
TX
01
—
8DL499
BCBS ID #
TX
Enumeration date
06/22/2006
Last updated
10/24/2023
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