Provider Demographics
NPI:1053486829
Name:FRANCIS, LEELAMMA (NP)
Entity Type:Individual
Prefix:MRS
First Name:LEELAMMA
Middle Name:
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3227. CHAPEL CREEK WAY
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-6730
Mailing Address - Country:US
Mailing Address - Phone:281-778-6282
Mailing Address - Fax:281-344-4606
Practice Address - Street 1:RICHMOND STATE SCHOOL, 2100 PRESTON.
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-1499
Practice Address - Country:US
Practice Address - Phone:281-344-4264
Practice Address - Fax:281-344-4606
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX441604363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00243741Medicare ID - Type UnspecifiedRAILROAD PART B
TX85N050Medicare ID - Type UnspecifiedPART B
TXS73076Medicare UPIN