Jonathan Leung, is a
Dentist - General Practice based in Longview, Texas. Jonathan Leung is licensed to practice in Texas (license number 40602) and his current practice location is
2539 Judson Rd, Longview, Texas. He can be reached at his office (for appointments etc.) via phone at
(660) 988-1208.
NPI number for Jonathan Leung is 1891487450 and his current mailing address is 1121 E Hawkins Pkwy Apt 3215, Longview, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1891487450.
Healthcare Provider's Profile
| Full Name | Jonathan Leung |
|---|
| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 2539 Judson Rd, Longview, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1891487450
- Provider Enumeration Date: 05/23/2023
- Last Update Date: 08/05/2024
Medical Identifiers
Medical identifiers for Jonathan Leung such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891487450 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YS0200X | Counselor - School | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | 40602 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jonathan Leung is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jonathan Leung,
1121 E Hawkins Pkwy Apt 3215,
Longview, TX 75605-0119
Ph: () - | Jonathan Leung,
2539 Judson Rd,
Longview, TX 75605-4643
Ph: (660) 988-1208 |
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