Leath, Michael Carter

Leath, Michael Carter is an individual health care provider with primary practice located at 7470 State Hwy 154 Oak Haven Recovery Center, Marshall TX 75670. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Leath, Michael Carter can be contacted via phone (903) 938-5149.

Contact Information

Primary practice address
7470 State Hwy 154 Oak Haven Recovery Center Marshall TX 75670
Phone: (903) 938-5149
Fax: (903) 753-9141
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X E2672 Texas

Profile Details

NPI number 1831197524
LBN Legal business name Leath, Michael Carter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Oct 7th, 2010 - about 14 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 1831197524 NPPES
Texas Other 0004357854 AETNA
Texas MEDICAID 131170604 AETNA
Texas Other 0043GG AETNA
Texas Other 110219847 AETNA

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