Leveille, Marygrace C

Leveille, Marygrace C is an individual health care provider with primary practice located at 4360 N Josey Ln , Carrollton TX 75010-4602. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Leveille, Marygrace C can be contacted via phone (972) 939-8294.

Contact Information

Primary practice address
4360 N Josey Ln Carrollton TX 75010-4602
Phone: (972) 939-8294
Fax: (214) 731-0240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 533547 Texas
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP109451 Texas

Profile Details

NPI number 1124044029
LBN Legal business name Leveille, Marygrace C
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Sep 27th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124044029 NPPES
Texas MEDICAID 175724702
Texas MEDICAID 175724701

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