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Individual

DR. LEYKA M BARBOSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7777 FOREST LANE, SUITE C-610, DALLAS, TX 75230-2548
(972) 566-2234
(972) 566-6611
Mailing address
7777 FOREST LANE, SUITE C-610, DALLAS, TX 75230-2548
(972) 566-2234
(972) 566-6611

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
J6868
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0002EM
BCBS OF TEXAS, PROV. NO.
TX
05
1160541-02
TX
01
752787826
TAX IDENTIFICATION NUMBER
TX
01
89490Y
BCBS OF TX PERF PRV
TX
Enumeration date
01/22/2007
Last updated
08/04/2008
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