Individual
WAYNE N LEEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4002 TECHNOLOGY CTR, LONGVIEW, TX 75605-2697
(903) 247-0484
(903) 247-0485
Mailing address
323 N FANNIN, TYLER, TX 75702-7321
(903) 531-9835
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
E8657
TX
Other
Enumeration date
01/02/2006
Last updated
05/28/2014
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