Individual
GERALD LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3865 CHILDRESS AVE, SUITE A, MESQUITE, TX 75150-2802
(972) 681-7246
Mailing address
5534 DRUID LN, DALLAS, TX 75209-5102
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA07832
TX
Other
Enumeration date
08/06/2012
Last updated
08/06/2012
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