Provider Demographics
NPI:1982701652
Name:THOME, LEONARD M (MD)
Entity Type:Individual
Prefix:DR
First Name:LEONARD
Middle Name:M
Last Name:THOME
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3820 HIGHWAY 365
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PORT ARTHUR
Mailing Address - State:TX
Mailing Address - Zip Code:77642-7543
Mailing Address - Country:US
Mailing Address - Phone:409-729-9114
Mailing Address - Fax:409-729-9197
Practice Address - Street 1:3820 HIGHWAY 365
Practice Address - Street 2:SUITE 100
Practice Address - City:PORT ARTHUR
Practice Address - State:TX
Practice Address - Zip Code:77642-7543
Practice Address - Country:US
Practice Address - Phone:409-729-9114
Practice Address - Fax:409-729-9197
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-17
Last Update Date:2013-03-21
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Provider Licenses
StateLicense IDTaxonomies
TXH7664207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX136940709Medicaid
TXF30346Medicare UPIN
TX8264B9Medicare PIN