Provider Demographics
NPI:1003811282
Name:LEBLANC, JOY PAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:JOY
Middle Name:PAUL
Last Name:LEBLANC
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JOY
Other - Middle Name:LYNETTE
Other - Last Name:PAUL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:250 BLOSSOM ST STE 350
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-4243
Mailing Address - Country:US
Mailing Address - Phone:832-553-5430
Mailing Address - Fax:281-554-6705
Practice Address - Street 1:250 BLOSSOM ST STE 350
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4243
Practice Address - Country:US
Practice Address - Phone:832-553-5430
Practice Address - Fax:281-554-6705
Is Sole Proprietor?:No
Enumeration Date:2005-06-15
Last Update Date:2015-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK8933207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX150410201Medicaid
TX150173601Medicaid
TX150173601Medicaid
TX8730M7Medicare PIN
TX150173601Medicaid
TX8730M7Medicare ID - Type UnspecifiedHARRIS COUNTY
TX8962N9Medicare ID - Type UnspecifiedBRAZORIA COUNTY