Doctor Name: | WILLIAM HERNANDEZ LEYVA |
NPI Number: | 1033416284 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LSA |
License Number: | SA00448 |
Business Practice Address: | 2607 Dixie Woods Dr Pearland, TX - 775815896 |
Business Phone Number: | 8324062427 |
Business Fax Number: | |
Mailing Address: | Po Box 34292, HOUSTON |
State: | TX |
Postal Code: | 772344292 |
Phone Number: | 8324062427 |
Fax Number: | |
NPI Enumeration Date: | 02/24/2011 |
NPI Last Update Date: | 05/23/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | SA00448 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |