Individual
EMILY LEIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
404 AVENUE E, MOODY, TX 76557-3579
(254) 853-9603
(254) 248-0626
Mailing address
1507 W MAIN ST, GATESVILLE, TX 76528-1024
(254) 865-2166
(254) 248-6303
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA12459
TX
Other
Enumeration date
12/21/2018
Last updated
08/03/2023
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