Individual
AMY ANTOINETTE KOTT LEAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6431 FANNIN ST, SUITE JJL 308, HOUSTON, TX 77030-1501
(713) 500-7610
Mailing address
6431 FANNIN ST, SUITE JJL 308, HOUSTON, TX 77030-1501
(713) 500-7610
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R0055
TX
Other
Enumeration date
04/08/2013
Last updated
09/30/2016
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