Provider Demographics
NPI:1598952574
Name:DENISE I LEONARD MD PA
Entity Type:Organization
Organization Name:DENISE I LEONARD MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:IONE
Authorized Official - Last Name:LEONARD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-587-0772
Mailing Address - Street 1:14505 TORREY CHASE BLVD STE 325
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77014-1036
Mailing Address - Country:US
Mailing Address - Phone:281-587-0772
Mailing Address - Fax:281-587-0599
Practice Address - Street 1:14505 TORREY CHASE BLVD STE 325
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77014-1036
Practice Address - Country:US
Practice Address - Phone:281-587-0772
Practice Address - Fax:281-893-7090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-03
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXJ14479Medicare UPIN