Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | H6365 | TX |
Y | 208600000X | Surgeon | H6365 | TX |
N | 2086S0105X | Surgery of the Hand | H6365 | TX |
NPI | 1437165073 |
---|---|
Provider Name | Dr. Leopoldo Lapuerta JR. |
First Address | Pearland, TX 77584 |
Second Address | Pearland, TX 77584 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2006 |
Last Update Date | 11/08/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
029716001 | (05) | TX |
760580301 | TAX ID (01) | TX |
G32832 | (02) | TX |