Individual
VIRGINIA E LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
750 MID CITIES BLVD STE 110, HURST, TX 76054-2793
(817) 347-2955
(817) 656-3659
Mailing address
PO BOX 99213, FORT WORTH, TX 76199-0213
(682) 885-1860
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
81206
TX
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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