Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | G2233 | TX |
NPI | 1023018165 |
---|---|
Provider Name | Dr. Leroy L Sterling |
First Address | Houston, TX 77265-5113 |
Second Address | Houston, TX 77002-9000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2005 |
Last Update Date | 12/03/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
127996003 | (05) | TX |
45D0977371 | CLIA (01) | TX |
8AJ373 | BLUECROSS BLUESHIELD (01) | TX |
B26689 | (02) | TX |
G2233 | TX. STATE BD. OF MED EXAM (01) | TX |