| Doctor Name: | JOSE J LEYVA |
| NPI Number: | 1992703714 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | D3740 |
| Business Practice Address: | 11275 S Sam Houston Pkwy W Suite 150 Houston, TX - 770312357 |
| Business Phone Number: | 8323284545 |
| Business Fax Number: | 8323284548 |
| Mailing Address: | Po Box 27903, HOUSTON |
| State: | TX |
| Postal Code: | 772277903 |
| Phone Number: | 8324072541 |
| Fax Number: | 7134390163 |
| NPI Enumeration Date: | 07/14/2005 |
| NPI Last Update Date: | 07/13/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2084A0401X |
| License Number: | D3740 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Psychiatry & Neurology |
| Taxonomy Specialization: | Addiction Medicine |
| Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |