Provider Demographics
NPI:1588601926
Name:JOPLIN, LEON D (DO)
Entity Type:Individual
Prefix:
First Name:LEON
Middle Name:D
Last Name:JOPLIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 S 1ST ST
Mailing Address - Street 2:
Mailing Address - City:HASKELL
Mailing Address - State:TX
Mailing Address - Zip Code:79521-5426
Mailing Address - Country:US
Mailing Address - Phone:940-864-8513
Mailing Address - Fax:940-427-1361
Practice Address - Street 1:1400 S 1ST ST
Practice Address - Street 2:
Practice Address - City:HASKELL
Practice Address - State:TX
Practice Address - Zip Code:79521-5426
Practice Address - Country:US
Practice Address - Phone:940-864-8513
Practice Address - Fax:940-427-1361
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2016-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ4242207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX128818502Medicaid
TX116256106OtherFIRSTCARE
TX128818502Medicaid
TXF61032Medicare UPIN