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Individual

CASEY A LEAMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1600 PROVIDENCE DR, WACO, TX 76707-2261
(254) 313-4200
(254) 313-4531
Mailing address
1600 PROVIDENCE DR, WACO, TX 76707-2261
(254) 313-4200
(254) 313-4531

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
BP10063984
TX
207Q00000X
Family Medicine Physician
Primary
S4332
TX

Other

Enumeration date
05/10/2018
Last updated
09/27/2021
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