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Individual

JORGE I LEIVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
24518 NORTHWEST FWY, MOB 2 SUITE 275, CYPRESS, TX 77429
(346) 618-3400
(346) 618-3401
Mailing address
24518 NORTHWEST FWY, MOB 2 SUITE 275, CYPRESS, TX 77429
(346) 618-3400
(346) 618-3401

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
K6641
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
081177101
TX
Enumeration date
11/17/2005
Last updated
12/05/2024
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