Fredholm, Leigh Anne

Fredholm, Leigh Anne is an individual health care provider with primary practice located at 8107 Springdale Rd Ste 110 , Austin TX 78724-2437. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Fredholm, Leigh Anne can be contacted via phone (512) 651-8644.

Contact Information

Primary practice address
8107 Springdale Rd Ste 110 Austin TX 78724-2437
Phone: (512) 651-8644
Fax: (512) 651-8635
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X J4126 Texas
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X J4126 Texas

Profile Details

NPI number 1265478598
LBN Legal business name Fredholm, Leigh Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Oct 24th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265478598 NPPES
Texas MEDICAID 135697410
Texas MEDICAID 135697409
Texas Other 8DL499

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