Leath, Thomas Michael

Leath, Thomas Michael is an individual health care provider with primary practice located at 3410 Far West Blvd Suite 146, Austin TX 78731-3194. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology, Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Allergy. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Leath, Thomas Michael can be contacted via phone (512) 349-0777.

Contact Information

Primary practice address
3410 Far West Blvd Suite 146 Austin TX 78731-3194
Phone: (512) 349-0777
Fax: (512) 349-9111
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology 2080P0201X M4273 Texas
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X M4273 Texas
Allopathic & Osteopathic Physicians / Allergy 207KA0200X M4273 Texas

Profile Details

NPI number 1497767420
LBN Legal business name Leath, Thomas Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Oct 31st, 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 1497767420 NPPES
Texas Other 752741 MEDICARE PTAN

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