Individual
DR. DANIELLE M. LEBLANC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 8TH AVE, SUITE 406, FORT WORTH, TX 76104-2601
(817) 698-9990
(817) 698-9997
Mailing address
800 8TH AVE, SUITE 406, FORT WORTH, TX 76104-2601
(817) 698-9990
(817) 698-9997
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
M0787
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0016NB
BCBS
TX
05
—
177164401
—
TX
01
—
7760708
AETNA
TX
Enumeration date
05/01/2006
Last updated
05/12/2014
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