Doctor Name: | DR. KATIE ELIZABETH LEONARD |
NPI Number: | 1932455276 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | BP10039894 |
Business Practice Address: | 3115 College Park Drive Suite 104 Conroe, TX - 773844001 |
Business Phone Number: | 9363215030 |
Business Fax Number: | 9362715033 |
Mailing Address: | 3115 College Park Drive, Suite 104 CONROE |
State: | TX |
Postal Code: | 773844001 |
Phone Number: | 9363215030 |
Fax Number: | 9362715033 |
NPI Enumeration Date: | 07/24/2012 |
NPI Last Update Date: | 01/14/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | BP10039894 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
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. |