Doris Marie Leist, M.D.

Individual provider Active NPI Surgery Physician · Comfort, TX

NPI 1902888134 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1902888134
Entity type
Individual (NPI type 1)
Primary specialty
Surgery Physician 208600000X
License
G8898 (TX)
Practice address
123 FM 1621
Comfort, TX 78013
Phone
(210) 670-9030
NPI assigned
Nov 15, 2005
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Keith L. Markey MD PA Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X G8898 TX Yes

Addresses

Primary practice location

123 FM 1621
Comfort, TX 78013

Mailing address

PO Box 781716
San Antonio, TX 78278-1716
Phone (210) 670-9030

Other providers in Comfort, TX

All providers in Comfort, TX · Surgery Physician in Texas

Sources for this page

Verify at the official NPI Registry.