Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | M2692 | TX |
N | 208600000X | Surgeon | M2692 | TX |
Y | 2086S0122X | Plastic and Reconstructive Surgery | M2692 | TX |
NPI | 1295830560 |
---|---|
Provider Name | Dr. Mimi Leong |
First Address | Houston, TX 77030 |
Second Address | Houston, TX 77030 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2006 |
Last Update Date | 15/11/2010 |