Leyva, Bonnie
Leyva, Bonnie is an individual health care provider with primary practice located at 1301 Barbara Jordan Blvd Suite 200, Austin TX 78723-3077. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Endocrinology. Allopathic & Osteopathic Physicians / Pediatric Endocrinology is her primary health care specialty. Leyva, Bonnie can be contacted via phone (512) 628-1830.Contact Information
Primary practice address
1301 Barbara Jordan Blvd Suite 200
Austin TX 78723-3077
Phone: (512) 628-1830
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | N6318 | Texas |
| Allopathic & Osteopathic Physicians / Pediatric Endocrinology | 2080P0205X | N6318 | Texas |
Profile Details
| NPI number | 1952560062 |
|---|---|
| LBN Legal business name | Leyva, Bonnie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2008 |
| Last updated | Mar 19th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952560062 | NPPES |
| Texas | MEDICAID | 216715703 |
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