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
Fax: (210) 704-4136
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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