Doctor Name: | DR. LEAH D EBERLEY |
NPI Number: | 1437133782 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | H2059 |
Business Practice Address: | 1201 E Schuster Ave Suite 4-b El Paso, TX - 799024672 |
Business Phone Number: | 9155326069 |
Business Fax Number: | 9155321335 |
Mailing Address: | 1201 E. Schuster Ave., Suite 4-b EL PASO |
State: | TX |
Postal Code: | 799024646 |
Phone Number: | 9155326069 |
Fax Number: | 9155321335 |
NPI Enumeration Date: | 11/30/2005 |
NPI Last Update Date: | 12/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | H2059 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |