Provider Demographics
NPI:1891836631
Name:HOBBS, LESLIE DENISE (LPT)
Entity Type:Individual
Prefix:MS
First Name:LESLIE
Middle Name:DENISE
Last Name:HOBBS
Suffix:
Gender:F
Credentials:LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12827 GULF FWY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77034-4807
Mailing Address - Country:US
Mailing Address - Phone:281-481-2649
Mailing Address - Fax:281-481-0080
Practice Address - Street 1:12827 GULF FWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77034-4807
Practice Address - Country:US
Practice Address - Phone:281-481-2649
Practice Address - Fax:281-481-0080
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2007-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1098861225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8J9385OtherMEDICARE ID
TXDG2569OtherRAILROAD MEDICARE GROUP #
TXP00425285OtherRAILROAD MEDICARE NO.
TX1578600813OtherGROUP NPI
TX00385WMedicare PIN