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Organization

LEACHMAN CARDIOLOGY ASSOCIATES PA

Active
Other names
Leachman Cardiology Associates LLP
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DEWITT RICHARD LEACHMAN M.D., F.A.C.C. (PRESIDENT)
(713) 790-9401
Entity
Organization

Contact information

Practice address
6624 FANNIN ST, SUITE 2780, HOUSTON, TX 77030-2312
(713) 790-9401
(713) 790-0353
Mailing address
6624 FANNIN ST, SUITE 2780, HOUSTON, TX 77030-2312
(713) 790-9401
(713) 790-0353

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0094EB
BLUE CROSS/BLUE SHIELD TX
TX
05
1093932 02
TX
Enumeration date
07/19/2006
Last updated
01/04/2010
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