Provider Demographics
NPI:1295465433
Name:LEITHAN HOLDINGS, LLC
Entity Type:Organization
Organization Name:LEITHAN HOLDINGS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:T
Authorized Official - Last Name:ASHU
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:206-666-8133
Mailing Address - Street 1:1700 N HAMPTON RD STE 105
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-2392
Mailing Address - Country:US
Mailing Address - Phone:206-666-8133
Mailing Address - Fax:
Practice Address - Street 1:1700 N HAMPTON RD STE 105
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-2392
Practice Address - Country:US
Practice Address - Phone:206-666-8133
Practice Address - Fax:972-228-6619
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-11
Last Update Date:2022-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty