Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | J8030 | TX |
NPI | 1013022771 |
---|---|
Provider Name | Dr. Elizabeth Y Leon |
First Address | Plano, TX 75093-8100 |
Second Address | Plano, TX 75093-8100 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G17539 | (02) | TX |