Leah Crouse

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Sachse, TX

NPI 1669924874 · NPPES record last updated Nov 4, 2016

Key facts

NPI
1669924874
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
License
35018365 (TX)
Practice address
6201 Fieldcrest LN
Sachse, TX 75048-5517
Phone
(214) 773-8741
NPI assigned
Nov 4, 2016
Sex
Female
Sole proprietor
No

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
35018365TXMDStudent in an Organized Health Care Education/Training Program

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 35018365 TX Yes

Addresses

Primary practice location

6201 Fieldcrest LN
Sachse, TX 75048-5517

Mailing address

6201 Fieldcrest LN
Sachse, TX 75048-5517
Phone (214) 773-8741

Other providers in Sachse, TX

All providers in Sachse, TX · Student in an Organized Health Care Education/Training Program in Texas

Sources for this page

Verify at the official NPI Registry.