Provider Demographics
NPI:1659452282
Name:LEAF ON A TREE LP
Entity type:Organization
Organization Name:LEAF ON A TREE LP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:DANNA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:713-467-4824
Mailing Address - Street 1:1120 BUSINESS CENTER DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77043-2735
Mailing Address - Country:US
Mailing Address - Phone:713-467-4824
Mailing Address - Fax:713-463-1585
Practice Address - Street 1:1120 BUSINESS CENTER DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77043-2735
Practice Address - Country:US
Practice Address - Phone:713-467-4824
Practice Address - Fax:713-463-1585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008298282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX670009Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER