| Alexander Jacob Leeds, | |
|
590 Medical Center Road, Fort Hood, TX 76544-5060 | |
| (254) 288-8000 | |
| Not Available |
| Full Name | Alexander Jacob Leeds |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 590 Medical Center Road, Fort Hood, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407314396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | MD21687 (Hawaii) | Primary |
| Entity Name | Hawaii Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710945969 PECOS PAC ID: 7618880667 Enrollment ID: O20031106000625 |
| Entity Name | The Queens Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487693586 PECOS PAC ID: 3476454067 Enrollment ID: O20040116000366 |
| Entity Name | Queens University Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891441382 PECOS PAC ID: 2466831557 Enrollment ID: O20220621000534 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexander Jacob Leeds, 590 Medical Center Road, Fort Hood, TX 76544-5060 Ph: (785) 969-2754 | Alexander Jacob Leeds, 590 Medical Center Road, Fort Hood, TX 76544-5060 Ph: (254) 288-8000 |
Forrest Craig, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 36065 Santa Fe Ave, Fort Hood, TX 76544 Phone: 317-775-8682 | |
Dr. Daniel Duy Tran, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 36065 Santa Fe Ave, Fort Hood, TX 76544 Phone: 254-288-8490 | |
Dr. Derek A. Escalante, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 36065 Santa Fe Ave, Fort Hood, TX 76544 Phone: 254-288-8000 |