Organization
KATY DIABETES AND ENDOCRINOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHANNA VIVIENNE LEYCO-POLICARPIO MD (OWNER/PHYSICIAN)
(832) 437-6531
Entity
Organization
Contact information
Practice address
26077 NELSON WAY STE 1201, KATY, TX 77494-6698
(832) 437-6531
(832) 437-6548
Mailing address
26077 NELSON WAY STE 1201, KATY, TX 77494-6698
(832) 437-6531
(832) 437-6548
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
12/16/2022
Last updated
12/16/2022
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