Organization Active NPI

Pablo Leonardo MD PA

  • Cardiovascular Disease Physician
  • Killeen, TX
National Provider Identifier
1295058295
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G1945 Issued in TX
Legal business name
PABLO LEONARDO MD PA
Practice address
2301 S Clear Creek Rd
Suite 202
Killeen, TX 76549-4143
Phone
(254) 526-0404
Fax
(254) 526-9673
NPI assigned
Mar 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

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

Authorized official

Name
Dr. Pablo Leonardo, M.D.
Title
Ownder
Phone
(254) 526-0404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X G1945 TX Primary

Addresses

Primary practice location

2301 S Clear Creek Rd
Suite 202
Killeen, TX 76549-4143

Mailing address

2301 S Clear Creek Rd
Suite 202
Killeen, TX 76549-4143
Phone (254) 526-0404

National Provider Directory

National Provider Directory

Locations

2301 Clear Creek Rd
Ste 202
Killeen, TX 76549
Phone (254) 526-0404

NPI Registry JSON

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

{
    "created_epoch": "1267660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1295058295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 S CLEAR CREEK RD",
            "address_2": "SUITE 202",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765494143",
            "telephone_number": "254-526-0404",
            "fax_number": "254-526-9673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 S CLEAR CREEK RD",
            "address_2": "SUITE 202",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765494143",
            "telephone_number": "254-526-0404",
            "fax_number": "254-526-9673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PABLO LEONARDO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-04",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "LEONARDO",
        "authorized_official_first_name": "PABLO",
        "authorized_official_title_or_position": "OWNDER",
        "authorized_official_telephone_number": "254-526-0404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "G1945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.