Individual
DR. LEONARDO C PROFENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
497 10TH ST. STE 104, FLORESVILLE, TX 78114
(830) 393-1400
(830) 393-1737
Mailing address
497 10TH ST STE 104, FLORESVILLE, TX 78114-3178
(830) 393-1730
(830) 393-1739
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
P2157
TX
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
P2157
TX
Other
Enumeration date
09/07/2005
Last updated
05/10/2022
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