Mary Alice D. Leal, M.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

1202 E Soterra Blvd, Ste 301
San Antonio, TX 78258-4090

Phone

(210) 400-7701

Fax

(210) 828-6679

NPI assigned

Aug 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187222400000",
    "number": "1346432911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 E SOTERRA BLVD, STE 301",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78258",
            "telephone_number": "210-400-7701",
            "fax_number": "210-828-6679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 E SOTERRA BLVD, STE 301",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584090",
            "telephone_number": "210-400-7701",
            "fax_number": "210-828-6679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAL",
        "first_name": "MARY ALICE",
        "middle_name": "D.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-16",
        "last_updated": "2007-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiana Jordan Leal
• Leandra Love Leal
• Maria Leal
• Maria Christina Leal, PA-C
• Mariana Elizabeth Leal, OTR
• Megan Nicole Leal, PA-C
• Mirya Lynn Leal, LVN
• Nicole Ann Jimenez Leal
• Nicole Brooke Leal, BCBA
• Priscilla Leal

• Medical Physician Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; 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.