Gruppo, Leonard Q

Gruppo, Leonard Q is an individual health care provider with primary practice located at 810 E Ralph Hall Pkwy Unit 100 , Rockwall TX 75032. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Gruppo, Leonard Q can be contacted via phone (469) 402-3400.

Contact Information

Primary practice address
810 E Ralph Hall Pkwy Unit 100 Rockwall TX 75032
Phone: (469) 402-3400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA02885 Texas

Profile Details

NPI number 1831189372
LBN Legal business name Gruppo, Leonard Q
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated May 6th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831189372 NPPES
New Mexico MEDICAID 60430851

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