MR. Jerry Wayne Leisure, PA C

NPI #1356556906 in Winfield, Texas

Provider Information

NPI Number: 1356556906
Entity Type: Individual
Name: MR. Jerry Wayne Leisure, PA C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA C
Enumeration Date: May 14, 2007
Last Updated: Jul 10, 2015

Practice Location

Address: 108 6TH ST
City: Winfield
State: Texas
ZIP Code: 75493
Phone: (903) 524-4700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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