Individual
NICOLETTE LEOPOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11144 FUQUA ST APT 611, HOUSTON, TX 77089-2552
(318) 376-8479
Mailing address
11144 FUQUA ST APT 222, HOUSTON, TX 77089-2546
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171M000000X
—
TX
Enumeration date
10/19/2021
Last updated
10/19/2021
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