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Individual

JOSE J LEYVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11275 S SAM HOUSTON PKWY W, SUITE 150, HOUSTON, TX 77031-2357
(832) 328-4545
(832) 328-4548
Mailing address
PO BOX 27903, HOUSTON, TX 77227-7903
(832) 407-2541
(713) 439-0163

Taxonomy

Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
D3740
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0967168-01
TX
Enumeration date
07/14/2005
Last updated
07/13/2010
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