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Individual

DR. VIVIEN W LEONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH. D.

Contact information

Practice address
7777 SOUTHWEST FWY, SUITE 1036, HOUSTON, TX 77074-1802
(713) 776-2400
(713) 776-2145
Mailing address
7777 SOUTHWEST FWY, SUITE 1036, HOUSTON, TX 77074-1802
(713) 776-2400
(713) 776-2145

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
23554
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
86902A
BLUE CROSS/BLUE SHIELD #
TX
Enumeration date
10/31/2006
Last updated
07/09/2007
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