Provider Demographics
NPI:1801222195
Name:BROWN, LEIGHAN C (PA-C)
Entity type:Individual
Prefix:
First Name:LEIGHAN
Middle Name:C
Last Name:BROWN
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:1616 CALLAGHAN RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78228-4315
Mailing Address - Country:US
Mailing Address - Phone:210-435-1218
Mailing Address - Fax:210-435-3162
Practice Address - Street 1:136 OLD SAN ANTONIO RD
Practice Address - Street 2:406
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-3337
Practice Address - Country:US
Practice Address - Phone:830-816-5800
Practice Address - Fax:210-568-6302
Is Sole Proprietor?:No
Enumeration Date:2013-09-19
Last Update Date:2014-12-22
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Provider Licenses
StateLicense IDTaxonomies
TXPA08718363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical