Individual
LEO JAV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12222 MERIT DR STE 600, DALLAS, TX 75251-3294
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-2604
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
BP1-0050296
TX
207L00000X
Anesthesiology Physician
Primary
S2357
TX
Other
Enumeration date
06/19/2014
Last updated
03/08/2023
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