Provider Demographics
NPI:1629539366
Name:LEACH, KATHERINE CORLEY (MD)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:CORLEY
Last Name:LEACH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:CLAIRE
Other - Last Name:CORLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13203 FRY RD STE 600
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-3695
Mailing Address - Country:US
Mailing Address - Phone:281-304-5559
Mailing Address - Fax:
Practice Address - Street 1:13203 FRY RD STE 600
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-3695
Practice Address - Country:US
Practice Address - Phone:281-304-5559
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-26
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT7278208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics