| Enrique A Leal Md | |
|
318 W Columbia St San Augustine TX 75972-1820 | |
| (936) 288-3722 | |
| Not Available |
| Full Name | Enrique A Leal Md |
|---|---|
| Speciality | Family Medicine |
| Location | 318 W Columbia St, San Augustine, Texas |
| Authorized Official Name and Position | Enrique A Leal (PRESIDENT) |
| Authorized Official Contact | 9362883722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Enrique A Leal Md 318 W Columbia St San Augustine TX 75972-1820 Ph: (936) 288-3722 | Enrique A Leal Md 318 W Columbia St San Augustine TX 75972-1820 Ph: (936) 288-3722 |
| NPI Number | 1518156736 |
|---|---|
| Provider Enumeration Date | 10/24/2007 |
| Last Update Date | 10/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518156736 | NPI | - | NPPES |
| G8896 | Other | TX | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G8896 (Texas) | Primary |
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