Individual
LEIGH ANN JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3601 4TH ST, LUBBOCK, TX 79430-9410
(806) 743-3150
(806) 743-3168
Mailing address
PO BOX 5865, LUBBOCK, TX 79408-5865
(806) 743-3150
(806) 743-3168
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G5217
TX
207RC0000X
Cardiovascular Disease Physician
Primary
G5217
TX
207RI0011X
Interventional Cardiology Physician
G5217
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100138800A
—
OK
01
—
115996100
FIRSTCARE COMMERCIAL
TX
05
—
115996101
—
TX
05
—
118493901
—
TX
05
—
118493903
—
TX
01
—
52370
PRESBYTERIAN COMMERCIAL
NM
05
—
52370
—
NM
01
—
80899Z
HMO BLUE
TX
01
—
85E555
BC/BS
TX
01
—
A027
TRIWEST
—
05
—
X5390
—
NM
Enumeration date
10/19/2005
Last updated
12/02/2021
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