Leicht, Theresa G

Leicht, Theresa G is an individual health care provider with primary practice located at 301 University Blvd , Galveston TX 77555-5302. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Perinatal, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology is her primary health care specialty. Leicht, Theresa G can be contacted via phone (409) 772-2222.

Contact Information

Primary practice address
301 University Blvd Galveston TX 77555-5302
Phone: (409) 772-2222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Perinatal 363LP1700X 244307 Texas
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 244307 Texas

Profile Details

NPI number 1831251396
LBN Legal business name Leicht, Theresa G
Credentials PNNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Jun 18th, 2008 - about 16 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 1831251396 NPPES
Texas MEDICAID 088302701

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