Individual
DR. FRANCISCO ALONZO LEAL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 NORTH PARK ST, BRENHAM, TX 77833-2610
(979) 836-6153
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G5283
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10021016
AMERIGROUP
TX
01
—
107042
SUPERIOR CHIPS
TX
05
—
138404213
—
TX
Enumeration date
05/23/2005
Last updated
10/09/2020
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