Organization
DAVID LECUSAY PEDIATRICS P A
Active
Other names
David Lecusay Pediatrics PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID LECUSAY M.D (MD / PRESIDENT)
(956) 544-6900
Entity
Organization
Contact information
Practice address
864 CENTRAL BLVD, SUITE 2700, BROWNSVILLE, TX 78520-7551
(956) 544-6900
(956) 544-6905
Mailing address
864 CENTRAL BLVD, SUITE 2700, BROWNSVILLE, TX 78520-7551
(956) 544-6900
(956) 544-6905
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L9777
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166514302
—
TX
01
—
L9777
TEXAS STATE LICENSE
TX
Enumeration date
04/01/2009
Last updated
07/08/2009
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