Organization
ENRIQUE A LEAL MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENRIQUE A LEAL M.D. (PRESIDENT)
(936) 288-3722
Entity
Organization
Contact information
Practice address
318 W COLUMBIA ST, SAN AUGUSTINE, TX 75972-1820
(936) 288-3722
Mailing address
318 W COLUMBIA ST, SAN AUGUSTINE, TX 75972-1820
(936) 288-3722
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G8896
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G8896
LICENSE
TX
Enumeration date
10/24/2007
Last updated
10/24/2007
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