Provider Demographics
NPI:1679556922
Name:LEDGER, HAROLD ASHLEY (DPM)
Entity Type:Individual
Prefix:
First Name:HAROLD
Middle Name:ASHLEY
Last Name:LEDGER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 11538
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76547-1538
Mailing Address - Country:US
Mailing Address - Phone:254-245-9177
Mailing Address - Fax:254-245-9178
Practice Address - Street 1:800 W CENTRAL TEXAS EXPY
Practice Address - Street 2:SUITE 155
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548-1899
Practice Address - Country:US
Practice Address - Phone:254-519-3668
Practice Address - Fax:254-501-3668
Is Sole Proprietor?:No
Enumeration Date:2005-11-21
Last Update Date:2017-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1582213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX166304901Medicaid
TX200864279OtherHUMANA/MILITARY-TRICARE
TXP00142246OtherMEDICARE RAILROAD
TX8M5670OtherBLUE CROSS BLUE SHIELD
TX8B8842Medicare PIN
TX8M5670OtherBLUE CROSS BLUE SHIELD
TXP00142246OtherMEDICARE RAILROAD