Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | 1122 | TX |
N | 213ES0103X | Foot & Ankle Surgery | 1122 | TX |
NPI | 1588793525 |
---|---|
Provider Name | Dr. Leon H. Belcher II |
First Address | Houston, TX 77021-1640 |
Second Address | Houston, TX 77021-3251 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/03/2007 |
Last Update Date | 04/03/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
092780801 | (05) | TX |
U05466 | (02) | TX |