Dessa Leamon, PTA

Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Bremond, TX

NPI 1528623972 · NPPES record last updated May 1, 2019

Key facts

NPI
1528623972
Entity type
Individual (NPI type 1)
Primary specialty
Physical Medicine & Rehabilitation Physician 208100000X
License
2008819 (TX)
Practice address
4877 FM 2954
Bremond, TX 76629-5117
Phone
(979) 255-4983
NPI assigned
May 1, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2008819TXMDPhysical Medicine & Rehabilitation Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 2008819 TX Yes

Addresses

Primary practice location

4877 FM 2954
Bremond, TX 76629-5117

Mailing address

4877 FM 2954
Bremond, TX 76629-5117

Other providers in Bremond, TX

All providers in Bremond, TX · Physical Medicine & Rehabilitation Physician in Texas

Sources for this page

Verify at the official NPI Registry.