JOHN LEWIS LEAKE

FORT WORTH, TX
NPI1114600780
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: TX  PA19359)
Enumeration Date2023-08-10
Last Update Date2025-08-15
Business Address
JOHN LEWIS LEAKE
800 5TH AVE STE 300
FORT WORTH, TX 76104-7303
Phone number: 817-250-6575
Mailing Address
JOHN LEWIS LEAKE
HAHN 3124 -- 6271 USA DRIVE NORTH
MOBILE, AL 36688-0001
Phone number: 251-441-9334
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