Organization
MAIN STREET ANESTHESIA OF TEXAS, PA
Active
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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