Individual
REGAN ASHLEIGH HOUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
211 GIBSON STREET, NW, SUITE 215, LEESBURG, VA 20176-2115
(571) 707-2085
(571) 291-9196
Mailing address
224 D CORNWALL STREET NW, STE 403, LEESBURG, VA 20176-2704
(703) 737-6010
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110007925
VA
363A00000X
Physician Assistant
C07787
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376132803
—
VA
05
—
30017817860001
—
VA
Enumeration date
01/11/2021
Last updated
05/02/2024
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