| Elizabeth Leal, RD | |
|
9539 Huffmeister Rd, Houston, TX 77095-2856 | |
| (832) 593-8100 | |
| Not Available |
| Full Name | Elizabeth Leal |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 9539 Huffmeister Rd, Houston, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093311136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DT86869 (Texas) | Primary |
| Provider Name | Privia Medical Group Gulf Coast Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1578969465 PECOS PAC ID: 4688999022 Enrollment ID: O20150206000763 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Leal, RD 9539 Huffmeister Rd, Houston, TX 77095-2856 Ph: (832) 593-8100 | Elizabeth Leal, RD 9539 Huffmeister Rd, Houston, TX 77095-2856 Ph: (832) 593-8100 |
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