Leza, Mario Albert
Leza, Mario Albert is an individual health care provider with primary practice located at 1409 Javelin Way , Lewisville TX 75077-7633. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Leza, Mario Albert can be contacted via phone (972) 971-0738.Contact Information
Primary practice address
1409 Javelin Way
Lewisville TX 75077-7633
Phone: (972) 971-0738
Fax: (972) 317-2967
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 9901 | Texas |
Profile Details
| NPI number | 1326072679 |
|---|---|
| LBN Legal business name | Leza, Mario Albert |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Dec 8th, 2016 - about 10 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 | 1326072679 | NPPES |
| Texas | MEDICAID | 1774275 |
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