Individual
DWAYNE LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1609 JUDSON RD, LONGVIEW, TX 75601-3663
(903) 753-5329
(903) 753-6818
Mailing address
1609 JUDSON RD, LONGVIEW, TX 75601-3663
(903) 753-5329
(903) 753-6818
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
50653
TX
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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