Provider Demographics
NPI:1336727940
Name:PAR, LEAH (APRN-CNP, AGPCNP)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:
Last Name:PAR
Suffix:
Gender:F
Credentials:APRN-CNP, AGPCNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3201 N WARE RD
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-3305
Mailing Address - Country:US
Mailing Address - Phone:361-402-5400
Mailing Address - Fax:
Practice Address - Street 1:3201 N WARE RD
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-3305
Practice Address - Country:US
Practice Address - Phone:817-209-5337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-02
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1021109363LP2300X, 163WG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty
No163WG0600XNursing Service ProvidersRegistered NurseGerontologyGroup - Multi-Specialty