Individual provider Active NPI

Leila Myrick, M.D., PH.D.

  • Family Medicine Physician
  • Seminole, TX
National Provider Identifier
1104359090
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
S7513 Issued in TX
Practice address
209 NW 8TH St
Seminole, TX 79360-3447
Phone
(432) 758-5811
Fax
(432) 758-4880
NPI assigned
Apr 6, 2017
Last updated
Nov 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X S7513 TX Primary

Addresses

Primary practice location

209 NW 8TH St
Seminole, TX 79360-3447

Mailing address

209 NW 8TH St
Seminole, TX 79360-3447
Phone (432) 758-5811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200827002205 TX Practitioner - Family Practice 4082984752 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Emory University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

209 NW 8TH St
Memorial Hospital
Seminole, TX 79360-3447
Phone (915) 758-5811

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Seminole Hospital District of Gaines County Texas CurrentSince Sep 1, 2020 Accepting new patients
Seminole Hospital District of Gaines County Texas CurrentSince Sep 1, 2020 Accepting new patients

Locations

209 NW 8th St
Seminole, TX 79360
Phone (432) 758-5811

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1104359090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 NW 8TH ST",
            "city": "SEMINOLE",
            "state": "TX",
            "postal_code": "793603447",
            "telephone_number": "432-758-5811",
            "fax_number": "432-758-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 NW 8TH ST",
            "city": "SEMINOLE",
            "state": "TX",
            "postal_code": "793603447",
            "telephone_number": "432-758-5811",
            "fax_number": "432-758-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYRICK",
        "first_name": "LEILA",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-06",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S7513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seminole, TX

Sources for this page

Verify at the official NPI Registry.