Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | K8933 | TX |
NPI | 1003811282 |
---|---|
Provider Name | Dr. Joy Paul Leblanc |
First Address | Webster, TX 77598-4243 |
Second Address | Webster, TX 77598-4243 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2005 |
Last Update Date | 11/09/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
150173601 | (05) | TX |
150410201 | (05) | TX |