Leach, Charles Thomas

Leach, Charles Thomas is an individual health care provider with primary practice located at 333 N Santa Rosa St , San Antonio TX 78207-3108. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, which is considered as his primary health care specialty. Leach, Charles Thomas can be contacted via phone (210) 704-3391.

Contact Information

Primary practice address
333 N Santa Rosa St San Antonio TX 78207-3108
Phone: (210) 704-3391
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X H6882 Texas

Profile Details

NPI number 1073620142
LBN Legal business name Leach, Charles Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Feb 12th, 2015 - 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 1073620142 NPPES
Texas MEDICAID 103034801

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