Provider Demographics
NPI:1134347362
Name:ROBERT LEKACH, M.D.P.A.
Entity type:Organization
Organization Name:ROBERT LEKACH, M.D.P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:LEKACH
Authorized Official - Suffix:
Authorized Official - Credentials:MEDICAL DOCTOR
Authorized Official - Phone:956-546-9902
Mailing Address - Street 1:1145 PROFESSIONAL DR
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-6462
Mailing Address - Country:US
Mailing Address - Phone:956-546-9902
Mailing Address - Fax:956-546-8723
Practice Address - Street 1:1145 PROFESSIONAL DR
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-6462
Practice Address - Country:US
Practice Address - Phone:956-546-9902
Practice Address - Fax:956-546-8723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2011-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH1614207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX86Y692OtherBC/BS/MEDICARE
TX091456601Medicaid
TX00U58BOtherMEDICARE GROUP I.D.
TX00U58BOtherMEDICARE GROUP I.D.
TXA63974Medicare UPIN