Provider Demographics
NPI:1932297942
Name:THOMAS A. LEONG, M.D., P.A.
Entity Type:Organization
Organization Name:THOMAS A. LEONG, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROFESSIONAL ASSOCIATION
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:A
Authorized Official - Last Name:LEONG
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PA
Authorized Official - Phone:361-883-2000
Mailing Address - Street 1:PO BOX 6818
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78466-6818
Mailing Address - Country:US
Mailing Address - Phone:361-883-2000
Mailing Address - Fax:
Practice Address - Street 1:6118 PARKWAY DR
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78414-2455
Practice Address - Country:US
Practice Address - Phone:361-883-2000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM4854207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXDF6788OtherMEDICARE B RAILROAD
TX186377101Medicaid
TXDF6788OtherMEDICARE B RAILROAD
TXH75426Medicare UPIN
TX00X357Medicare PIN