Individual
DR. LEONARD E DEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12446 WEST AVE, STE 200, SAN ANTONIO, TX 78216-2530
(210) 525-1668
Mailing address
12446 WEST AVE, STE 200, SAN ANTONIO, TX 78216-2530
(210) 525-1668
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
L8031
TX
207RP1001X
Pulmonary Disease Physician
Primary
L8031
TX
207RS0012X
Sleep Medicine (Internal Medicine) Physician
L8031
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177071101
—
TX
01
—
7531716
AETNA
—
01
—
8U5290
BLUECROSS BLUESHIELD PIN
TX
01
—
P00682931
MEDICARE RAILROAD
TX
Enumeration date
11/03/2005
Last updated
08/31/2022
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