Fredholm, Leigh Anne
Fredholm, Leigh Anne is an individual health care provider with primary practice located at 8107 Springdale Rd Ste 110 , Austin TX 78724-2437. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Fredholm, Leigh Anne can be contacted via phone (512) 651-8644.Contact Information
Primary practice address
8107 Springdale Rd Ste 110
Austin TX 78724-2437
Phone: (512) 651-8644
Fax: (512) 651-8635
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | J4126 | Texas |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207QH0002X | J4126 | Texas |
Profile Details
| NPI number | 1265478598 |
|---|---|
| LBN Legal business name | Fredholm, Leigh Anne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Oct 24th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265478598 | NPPES |
| Texas | MEDICAID | 135697410 | |
| Texas | MEDICAID | 135697409 | |
| Texas | Other | 8DL499 |
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