Enrique a Leal MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G8896 Issued in TX

Legal business name

ENRIQUE A LEAL MD

Practice address

318 W Columbia St
San Augustine, TX 75972-1820

Phone

(936) 288-3722

NPI assigned

Oct 24, 2007

Last updated

Oct 24, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Enrique A Leal, M.D.

Title

President

Phone

(936) 288-3722

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1518156736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 W COLUMBIA ST",
            "city": "SAN AUGUSTINE",
            "state": "TX",
            "postal_code": "759721820",
            "telephone_number": "936-288-3722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 W COLUMBIA ST",
            "city": "SAN AUGUSTINE",
            "state": "TX",
            "postal_code": "759721820",
            "telephone_number": "936-288-3722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENRIQUE A LEAL MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "LEAL",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "936-288-3722",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G8896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "G8896",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeannine Cullum, DDS
• D & H Enterprises (El Camino House Assisted Living)
• Economy Professional Pharmacy Inc
• Stacie L Edwards, APRN, FNP-C
• Valarie Edwards
• Kaneitra Nicole Garrett, LVN
• Frankie C Goodwin, PH.D
• Wingett Harley Goodwin, DDS
• Chivas Paul Guillote, APRN, FNP, AGACNP
• Health Opportunities for the People of East Texas, Inc. (Hope Pharmacy San Augustine)

• Family Medicine Physician in San Augustine, TX
• Providers in San Augustine, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.