Provider Demographics
NPI:1053445437
Name:SUKI, LEILA ANN (DDS)
Entity Type:Individual
Prefix:DR
First Name:LEILA
Middle Name:ANN
Last Name:SUKI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2424 W HOLCOMBE BLVD
Mailing Address - Street 2:#202
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1934
Mailing Address - Country:US
Mailing Address - Phone:713-664-1004
Mailing Address - Fax:713-664-4032
Practice Address - Street 1:2424 W HOLCOMBE BLVD
Practice Address - Street 2:#202
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1934
Practice Address - Country:US
Practice Address - Phone:713-664-1004
Practice Address - Fax:713-664-4032
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2018-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16020332B00000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies