Individual
DR. LEILANI SO WILTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3 ABBOTSFORD COURT, DALLAS, TX 75225
(202) 716-0838
Mailing address
3 ABBOTSFORD COURT, DALLAS, TX 75225
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
F7664
TX
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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