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DR. LOUIS LEVY LEATHERMAN M.D.

Cardiovascular Disease >> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1326268731

Individual Registrant:
DR. LOUIS LEVY LEATHERMAN M.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
618 COUNTY RD. 324  BERTRAM, TX 78605 US
Tel: 512-355-3220  Fax: 512-355-0707

Contact information for business:
PO BOX 432  BERTRAM, TX 78605-0432 US
Tel: 512-355-3220  Fax: 512-355-0707

Registration Information:
NPI: 1326268731
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207RC0000XAllopathic & Osteopathic Physicians
Internal Medicine
Cardiovascular Disease
LAMD009184
Y207RC0000XAllopathic & Osteopathic Physicians
Internal Medicine
TXD4807

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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