Individual
BONNIE LEYVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1301 BARBARA JORDAN BLVD, SUITE 200, AUSTIN, TX 78723-3077
(512) 628-1830
Mailing address
1301 BARBARA JORDAN BLVD, SUITE 200, AUSTIN, TX 78723-3077
(512) 628-1830
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
N6318
TX
2080P0205X
Pediatric Endocrinology Physician
Primary
N6318
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
216715703
—
TX
Enumeration date
06/04/2008
Last updated
03/19/2015
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