Individual
DR. JOHN LEAHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
K8282
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102554601
—
TX
05
—
102554602
—
TX
01
—
102554603
CSHCN2
TX
01
—
102554604
CSHCN1
TX
01
—
300108488
RRMCARE
—
01
—
P00282576
RRMCARE2
—
Enumeration date
06/10/2005
Last updated
01/12/2015
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