Individual
DR. EDWARD WILLIAM LEAHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4201 GARTH RD, 100, BAYTOWN, TX 77521-3167
(281) 422-3113
(281) 427-6289
Mailing address
4201 GARTH RD STE 100, BAYTOWN, TX 77521-3154
(281) 422-3113
(281) 427-6289
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
E9763
TX
207RI0011X
Interventional Cardiology Physician
E9763
TX
207UN0901X
Nuclear Cardiology Physician
E9763
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00542
AETNA PPO
TX
01
—
009337
MEDICARE GROU
TX
01
—
0095PV
BC/BS
TX
01
—
10014586
AMERIGROUP
TX
05
—
133830308
—
TX
05
—
180530102
—
TX
01
—
2832697
CIGNA
TX
01
—
4080535
AETNA HMO
TX
01
—
8AG820
BC/BS
TX
01
—
9567607
GHI
TX
01
—
DF1985
MEDICARE RR
TX
Enumeration date
08/02/2005
Last updated
07/21/2022
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