Provider Demographics
NPI:1457349581
Name:LEONARD, DENISE I (MD)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:I
Last Name:LEONARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14505 TORREY CHASE BLVD STE 325
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77014-1036
Mailing Address - Country:US
Mailing Address - Phone:281-587-0772
Mailing Address - Fax:281-893-7090
Practice Address - Street 1:14505 TORREY CHASE BLVD STE 325
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77014-1036
Practice Address - Country:US
Practice Address - Phone:281-587-0772
Practice Address - Fax:281-893-7090
Is Sole Proprietor?:No
Enumeration Date:2005-10-12
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM6256207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3120139Medicaid
MA3120139Medicaid