| Dustin Ryan Leek, MD | |
|
1006 Legacy Ranch Rd # 104, Waxahachie, TX 75165-1293 | |
| (817) 290-7246 | |
| Not Available |
| Full Name | Dustin Ryan Leek |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 11 Years |
| Location | 1006 Legacy Ranch Rd # 104, Waxahachie, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902291362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP2900X | Anesthesiology - Pain Medicine | R3129 (Texas) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | R3129 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Infinite Care Home Health Inc | Waxahachie, TX | Home health agency |
| Baylor Scott & White Medical Center- Waxahachie | Waxahachie, TX | Hospital |
| Methodist Dallas Medical Center | Dallas, TX | Hospital |
| Focused Care Of Waxahachie | Waxahachie, TX | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eclipse Clinic Pllc | 9032512272 | 4 |
| Entity Name | Eclipse Clinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710551585 PECOS PAC ID: 9032512272 Enrollment ID: O20210726000778 |
| Mailing Address | Practice Location Address |
|---|---|
| Dustin Ryan Leek, MD 1006 Legacy Ranch Rd # 104, Waxahachie, TX 75165-1293 Ph: (469) 290-7246 | Dustin Ryan Leek, MD 1006 Legacy Ranch Rd # 104, Waxahachie, TX 75165-1293 Ph: (817) 290-7246 |
Larry Christopher Gough, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 3650 S Interstate 35 E, Waxahachie, TX 75165 Phone: 972-937-7320 | |
Wenbao Wang, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2460 N Interstate 35 E Rd, Suite 265, Waxahachie, TX 75165 Phone: 469-800-9740 Fax: 469-800-9741 |