TETY LEONARDI PA-C LD NPI 1528108339

NPI Information

NPI: 1528108339
Provider Name: TETY LEONARDI, PA-C, LD
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
2110 HOLLOW WAY
GARLAND, TX
ZIP 75041
Phone: (254) 421-2502
Get Directions

Tety Leonardi, PA-C, LD is a medical physician assistant in Garland, TX. Tety Leonardi, PA-C, LD NPI is 1528108339. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2110 HOLLOW WAY
GARLAND, TX
ZIP 75041-186
Phone: (254) 421-2502

The NPI 1528108339 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 2/8/2007 and was last updated on 3/26/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	133V00000X	Dietitian, Registered		DT07391	TEXAS	No
2	363AM0700X	Physician Assistant	Medical	PA07936	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	270086YKQL	MEDICARE PIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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