Provider Demographics
NPI:1134219116
Name:WEISS, LEONARD JAY (MD)
Entity type:Individual
Prefix:
First Name:LEONARD
Middle Name:JAY
Last Name:WEISS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3006 BEE CAVES RD
Mailing Address - Street 2:D203
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5588
Mailing Address - Country:US
Mailing Address - Phone:512-646-0880
Mailing Address - Fax:512-646-0879
Practice Address - Street 1:3006 BEE CAVES RD
Practice Address - Street 2:D203
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-5588
Practice Address - Country:US
Practice Address - Phone:512-646-0880
Practice Address - Fax:512-646-0879
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2021-07-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXP1833207Q00000X, 207R00000X, 2084P0802X, 2084P0800X, 2084A0401X, 2084F0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry
No2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine
No2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry