Doctor Name: | MR. OLIVER SCOTT LEINART |
NPI Number: | 1255670121 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | B9132 |
Business Practice Address: | 141 Cypress Point Cir Hideaway, TX - 757715062 |
Business Phone Number: | 9038829065 |
Business Fax Number: | |
Mailing Address: | 141 Cypress Point Cir, HIDEAWAY |
State: | TX |
Postal Code: | 757715062 |
Phone Number: | 9038829065 |
Fax Number: | |
NPI Enumeration Date: | 02/12/2013 |
NPI Last Update Date: | 02/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | B9132 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |