Individual
LEAH MARIE DUBOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1500 RED RIVER ST, AUSTIN, TX 78701-1918
(410) 491-2847
Mailing address
865 CATALINA LN, AUSTIN, TX 78737-4753
(410) 491-2847
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1039931
TX
Other
Enumeration date
09/23/2020
Last updated
08/08/2022
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