Individual
GENEVIEVE LOIS LEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
800 SCOTT AND WHITE DR, COLLEGE STATION, TX 77845-6440
(979) 207-4000
(979) 207-4562
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(979) 691-3300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA12042
TX
Other
Enumeration date
03/09/2018
Last updated
09/26/2024
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