Mabry, Leah Raye
Mabry, Leah Raye is an individual health care provider with primary practice located at 333 N. Santa Rosa Center For Children & Families, 4Th Floor, San Antonio TX 78207. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mabry, Leah Raye can be contacted via phone (210) 704-4140.Contact Information
Primary practice address
333 N. Santa Rosa Center For Children & Families, 4Th Floor
San Antonio TX 78207
Phone: (210) 704-4140
Fax: (210) 704-4136
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G3574 | Texas |
Profile Details
NPI number | 1588660047 |
---|---|
LBN Legal business name | Mabry, Leah Raye |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 21st, 2005 |
Last updated | Apr 7th, 2009 - about 15 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 | 1588660047 | NPPES |
Texas | Other | 5986554 | AETNA |
Texas | Other | 2224540 | AETNA |
Texas | Other | 130776107 | AETNA |
Texas | Other | 436404 | AETNA |
Texas | Other | 773119 | AETNA |
Texas | Other | 85747F | AETNA |
Texas | Other | 742806531E | AETNA |
Texas | MEDICAID | 130776102 | AETNA |
Texas | Other | 7677915002 | AETNA |
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