Leake, David

Leake, David is an individual health care provider with primary practice located at 12554 Riata Vista Cir , Austin TX 78727-6431. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Leake, David can be contacted via phone (512) 795-5100.

Contact Information

Primary practice address
12554 Riata Vista Cir Austin TX 78727-6431
Phone: (512) 795-5100
Fax: (512) 795-5122
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X F1735 Texas

Profile Details

NPI number 1093719825
LBN Legal business name Leake, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Jan 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 1093719825 NPPES
Texas Other 139582414 CSHCN1
Texas Other 300127109 CSHCN1
Texas Other 139582409 CSHCN1
Texas MEDICAID 139582415 CSHCN1
Texas MEDICAID 139582408 CSHCN1
Texas Other 300067612 CSHCN1

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