Susie Heard Leavelle, P.A.

NPI #1174720338 in Temple, Texas

Provider Information

NPI Number: 1174720338
Entity Type: Individual
Name: Susie Heard Leavelle, P.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: Jun 29, 2007
Last Updated: Oct 1, 2020

Practice Location

Address: 1901 SW H K DODGEN LOOP
City: Temple
State: Texas
ZIP Code: 76502-1814
Phone: (254) 953-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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