Individual
MR. MICHAEL LEAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
636 APPIA DR, KEMAH, TX 77565-1652
(713) 385-2593
Mailing address
636 APPIA DR, KEMAH, TX 77565-1652
(713) 385-2593
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
13179540
TX
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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