Provider Demographics
NPI:1255951562
Name:LEDAY, TONI LEE
Entity type:Individual
Prefix:
First Name:TONI
Middle Name:LEE
Last Name:LEDAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 840052
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77284-0052
Mailing Address - Country:US
Mailing Address - Phone:832-775-3726
Mailing Address - Fax:
Practice Address - Street 1:3210 CLIPPER WINDS WAY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-7618
Practice Address - Country:US
Practice Address - Phone:832-775-3726
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-16
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency