Leach, Collin
Leach, Collin is an individual health care provider with primary practice located at 2801 Franciscan Dr , Bryan TX 77802-2544. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Leach, Collin can be contacted via phone (979) 776-2537.Contact Information
Primary practice address
2801 Franciscan Dr
Bryan TX 77802-2544
Phone: (979) 776-2537
Fax: (979) 776-2526
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | T3322 | Texas |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | T3322 | Texas |
Profile Details
| NPI number | 1558868687 |
|---|---|
| LBN Legal business name | Leach, Collin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2018 |
| Last updated | Aug 30th, 2022 - about 4 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 | 1558868687 | NPPES |
| Texas | Other | Q00258489 | RR MEDICARE |
| Texas | Other | T3322 | RR MEDICARE |
| Texas | MEDICAID | 429296301 | RR MEDICARE |
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