Provider Demographics
NPI:1922311141
Name:LEONARD BEHR MD PA
Entity Type:Organization
Organization Name:LEONARD BEHR MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:
Authorized Official - Last Name:BEHR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-363-5660
Mailing Address - Street 1:8230 WALNUT HILL LANE
Mailing Address - Street 2:SUITE 600
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4432
Mailing Address - Country:US
Mailing Address - Phone:214-363-5660
Mailing Address - Fax:214-369-6126
Practice Address - Street 1:8230 WALNUT HILL LANE
Practice Address - Street 2:SUITE 600
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4432
Practice Address - Country:US
Practice Address - Phone:214-363-5660
Practice Address - Fax:214-369-6126
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-16
Last Update Date:2010-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE8316207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00CK06Medicare PIN
TXB21174Medicare UPIN