Individual
MR. LEON A RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
TEXAS MEDCLINIC, 8341 AGORA PKWAY, SELMA, TX 78154
(210) 559-5533
Mailing address
36000 DARNALL LOOP, CARL R. DARNALL ARMY MEDICAL CENTER, FORT HOOD, TX 76544
(245) 618-8781
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA06662
TX
Other
Enumeration date
03/11/2010
Last updated
04/28/2023
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