Organization
LEONARD E DEAL, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONARD E DEAL MD (PHYSICIAN)
(210) 525-1668
Entity
Organization
Contact information
Practice address
12446 WEST AVE STE 200, SAN ANTONIO, TX 78216-2530
(210) 656-3600
(210) 656-3603
Mailing address
12446 WEST AVE STE 200, SAN ANTONIO, TX 78216-2530
(210) 656-3600
(210) 656-3603
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
L8031
TX
207RP1001X
Pulmonary Disease Physician
L8031
TX
207RP1001X
Pulmonary Disease Physician
Primary
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
L8031
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0025NC
BLUECROSS BLUESHIELD
TX
05
—
177070301
—
TX
01
—
DO4567
MEDICARE RAILROAD
TX
Enumeration date
09/20/2007
Last updated
07/20/2022
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