Mercer, Leo C
Mercer, Leo C is an individual health care provider with primary practice located at 1600 Brook Ave , Wichita Falls TX 76301-5620. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is his primary health care specialty. Mercer, Leo C can be contacted via phone (940) 723-8465.Contact Information
Primary practice address
1600 Brook Ave
Wichita Falls TX 76301-5620
Phone: (940) 723-8465
Fax: (940) 766-1965
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | G9162 | Texas |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | G9162 | Texas |
Profile Details
| NPI number | 1508824335 |
|---|---|
| LBN Legal business name | Mercer, Leo C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2006 |
| Last updated | Jun 13th, 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 | 1508824335 | NPPES |
| Texas | Other | TXB124085 | PTAN |
| Texas | MEDICAID | 133224901 | PTAN |
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