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Individual

SHELLY L LEEDS-RICHTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7900 FANNIN ST, SUITE 4000, HOUSTON, TX 77054-2934
(713) 512-7000
(713) 512-7677
Mailing address
PO BOX 4048, HOUSTON, TX 77210-4048
(713) 512-7000
(713) 512-7677

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
L1642
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1511420-01
TX
01
8A6812
BLUE CROSS & BLUE SHIELD
TX
Enumeration date
06/01/2005
Last updated
09/30/2014
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