Leitko, Jeffrey K

Leitko, Jeffrey K is an individual health care provider with primary practice located at 1845 Precinct Line Rd Ste 209 Second Floor, Hurst TX 76054-3109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Leitko, Jeffrey K can be contacted via phone (817) 336-4638.

Contact Information

Primary practice address
1845 Precinct Line Rd Ste 209 Second Floor Hurst TX 76054-3109
Phone: (817) 336-4638
Fax: (817) 336-7637
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 052198 Georgia
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X M5813 Texas

Profile Details

NPI number 1245374537
LBN Legal business name Leitko, Jeffrey K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2007
Last updated Aug 18th, 2016 - about 8 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 1245374537 NPPES
Texas Other P00463013 RR MEDICARE
Texas Other M5813 RR MEDICARE
Texas Other 052198 RR MEDICARE
Texas MEDICAID 188618601 RR MEDICARE
Texas Other 26572 RR MEDICARE

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