Houston, Leslie H

Houston, Leslie H is an sole proprietor health care provider with primary practice located at 210 Huntington Holw , Brandon MS 39047-5208. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Houston, Leslie H can be contacted via phone (601) 624-2398.

Contact Information

Primary practice address
210 Huntington Holw Brandon MS 39047-5208
Phone: (601) 624-2398
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R867447 Mississippi

Profile Details

NPI number 1841478120
LBN Legal business name Houston, Leslie H
Credentials NP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2008
Last updated Mar 18th, 2016 - about 9 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 1841478120 NPPES
Mississippi MEDICAID 07520371

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