Liesel E.a. Leedy MD PA
NPI #1043490188 in Nacogdoches, Texas
Provider Information
- NPI Number
- 1043490188
- Entity Type
- Organization
- Organization Name
- Liesel E.a. Leedy MD PA
- Primary Specialty
- Anesthesiology
- Enumeration Date
- Nov 6, 2007
- Last Updated
- Nov 11, 2010
Practice Location
- Address
- 1204 N MOUND ST
- City
- Nacogdoches
- State
- Texas
- ZIP Code
- 75961-4027
- Phone
- (936) 564-4611
Authorized Official
- Name
- LIESEL E.A. LEEDY, MD
- Title
- PRESIDENT
- Phone
- (936) 462-7844
Specialties & Taxonomy Codes
| Specialty |
|---|
| Anesthesiology |
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