Active NPI
Mimi Leong, M.D., M.S.
- Plastic and Reconstructive Surgery Physician
- Houston, TX
National Provider Identifier
1295830560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- M2692
- Practice address
- 2002 Holcombe Blvd
Michael E. Debakey Veterans Affairs Medical Center
Houston, TX 77030 - Phone
- (713) 791-1414
- NPI assigned
- Sep 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | M2692 | TX | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | M2692 | TX | Primary |
Addresses
Primary practice location
2002 Holcombe Blvd
Michael E. Debakey Veterans Affairs Medical Center
Houston, TX 77030
Mailing address
2002 Holcombe Blvd
Michael E. Debakey Veterans Affairs Medical Center
Houston, TX 77030
Phone (713) 791-1414
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M2692 | TX | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baylor College of Medicine | Plastic Surgery | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Plastic Surgery Physician
- Houston, TX
- NPI 1730114125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289779200000",
"number": "1295830560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2002 HOLCOMBE BLVD",
"address_2": "MICHAEL E. DEBAKEY VETERANS AFFAIRS MEDICAL CENTER",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77030",
"telephone_number": "713-791-1414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2002 HOLCOMBE BLVD",
"address_2": "MICHAEL E. DEBAKEY VETERANS AFFAIRS MEDICAL CENTER",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77030",
"telephone_number": "713-791-1414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONG",
"first_name": "MIMI",
"name_prefix": "Dr.",
"credential": "M.D., M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-13",
"last_updated": "2010-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "TX",
"license": "M2692",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "TX",
"license": "M2692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.