Individual
DR. ROBERT M. LEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., R.PH.
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
H4480
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H4480
MEDICAL LICENSE
TX
Enumeration date
08/05/2006
Last updated
04/11/2014
Update your record
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