Individual
LEIGH TAYLOR WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
4101 JAMES CASEY ST STE 100, AUSTIN, TX 78745-1145
(512) 447-2202
(512) 447-5337
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP143658
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406183001
—
TX
05
—
406183002
—
TX
Enumeration date
11/25/2019
Last updated
08/04/2021
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