Doctor Name: | GABRIELA WALSMAN LEIVA |
NPI Number: | 1477845717 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | |
Business Practice Address: | 2106 Treasure Hill Blvd Harlingen, TX - 785501209 |
Business Phone Number: | 9562919000 |
Business Fax Number: | |
Mailing Address: | 800 E Vermont Ave Apt 21202, MCALLEN |
State: | TX |
Postal Code: | 785031722 |
Phone Number: | 9566391181 |
Fax Number: | 9566180451 |
NPI Enumeration Date: | 05/04/2011 |
NPI Last Update Date: | 08/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |