Provider Demographics
NPI:1003165994
Name:FIGUEROA, LEO LUIS (DDS)
Entity Type:Individual
Prefix:DR
First Name:LEO
Middle Name:LUIS
Last Name:FIGUEROA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 N TOWER RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:ALAMO
Mailing Address - State:TX
Mailing Address - Zip Code:78516-3704
Mailing Address - Country:US
Mailing Address - Phone:956-787-4337
Mailing Address - Fax:956-787-0200
Practice Address - Street 1:725 N TOWER RD
Practice Address - Street 2:SUITE A
Practice Address - City:ALAMO
Practice Address - State:TX
Practice Address - Zip Code:78516-3704
Practice Address - Country:US
Practice Address - Phone:956-787-4337
Practice Address - Fax:956-787-0200
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-06
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14748122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX090908703Medicaid