Individual
LEAH DAWN YTURRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7200 WYOMING SPGS, SUITE 400, ROUND ROCK, TX 78681-4303
(512) 416-7246
(512) 275-2833
Mailing address
2501 W WILLIAM CANNON DR, SUITE 401, AUSTIN, TX 78745-5281
(512) 416-7246
(512) 275-2833
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA04177
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189010503
—
TX
05
—
189010504
—
TX
Enumeration date
08/25/2005
Last updated
06/29/2015
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