Organization
MAIN STREET ANESTHESIA OF TEXAS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID PATRICK LEACHMAN MD (PRESIDENT)
(575) 644-1983
Entity
Organization
Contact information
Practice address
4920 NE STALLINGS DR, NACOGDOCHES, TX 75965-1254
(936) 569-9481
Mailing address
6408 INCA RD, FORT WORTH, TX 76116-1968
(817) 529-1144
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
03/29/2018
Last updated
03/29/2018
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