Provider Demographics
NPI:1013022771
Name:LEON, ELIZABETH Y (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:Y
Last Name:LEON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6300 W PARKER RD
Mailing Address - Street 2:SUITE 426
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-8100
Mailing Address - Country:US
Mailing Address - Phone:972-608-0774
Mailing Address - Fax:972-608-0595
Practice Address - Street 1:6300 W PARKER RD
Practice Address - Street 2:SUITE 426
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8100
Practice Address - Country:US
Practice Address - Phone:972-608-0774
Practice Address - Fax:972-608-0595
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXJ8030208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG17539Medicare UPIN