Individual
DR. BRIAN JOHN LEYKUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6448 E HWY 290, SUITE # D-103, AUSTIN, TX 78723-1068
(512) 452-2100
(512) 452-2106
Mailing address
6448 E HWY 290, SUITE # D-103, AUSTIN, TX 78723-1068
(512) 452-2100
(512) 452-2106
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
1994543
NY
213E00000X
Podiatrist
Primary
2045
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
318479802
—
TX
05
—
318479803
—
TX
01
—
P01242878
RAILROAD MEDICARE
TX
Enumeration date
07/17/2008
Last updated
01/20/2014
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