| Pca-leonard | |
|
700 N State Highway 78 Leonard TX 75452-0198 | |
| (903) 587-3331 | |
| (903) 587-2395 |
| Full Name | Pca-leonard |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 700 N State Highway 78, Leonard, Texas |
| Authorized Official Name and Position | William Cantrell (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9035873331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pca-leonard Po Box 844128 Dallas TX 75284-4128 Ph: (469) 800-3524 | Pca-leonard 700 N State Highway 78 Leonard TX 75452-0198 Ph: (903) 587-3331 |
| NPI Number | 1528283306 |
|---|---|
| Provider Enumeration Date | 04/16/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528283306 | NPI | - | NPPES |
| 006EE | Other | TX | BCBS GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Family Practice Leonard Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 700 N State Highway 78, Leonard, TX 75452 Phone: 903-587-0287 Fax: 903-587-0298 |