Provider Demographics
NPI:1023018165
Name:STERLING, LEROY L
Entity Type:Individual
Prefix:DR
First Name:LEROY
Middle Name:L
Last Name:STERLING
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 25113
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77265-5113
Mailing Address - Country:US
Mailing Address - Phone:713-622-4505
Mailing Address - Fax:713-877-0828
Practice Address - Street 1:2000 CRAWFORD ST
Practice Address - Street 2:STE 1700
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-9000
Practice Address - Country:US
Practice Address - Phone:713-622-4505
Practice Address - Fax:713-877-0828
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-29
Last Update Date:2015-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG2233207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX127996003Medicaid
TXG2233OtherTX. STATE BD. OF MED EXAM
TX45D0977371OtherCLIA
TX8AJ373OtherBLUECROSS BLUESHIELD
TX00D85HMedicare PIN
TXG2233OtherTX. STATE BD. OF MED EXAM