Individual
AUDRA SHAY LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1301 W WALL ST STE C, MIDLAND, TX 79701-6605
(432) 570-4500
(432) 522-2115
Mailing address
1301 W WALL ST STE C, MIDLAND, TX 79701-6605
(432) 570-4500
(432) 522-2115
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA06974
TX
Other
Enumeration date
01/25/2012
Last updated
06/17/2024
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