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1114910460
THOMAS A. LEAVENS
FORT WORTH, TX
NPI
1114910460
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: TX J3335)
Enumeration Date
2005-08-23
Last Update Date
2014-05-07
Business Address
Dr. THOMAS A. LEAVENS M.D.
1307 8TH AVE #408
FORT WORTH, TX 76104-4137
Phone number: 817-921-4191
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Mailing Address
Dr. THOMAS A. LEAVENS M.D.
221 W. COLORADO BLVD. PAVILLION 2 SUITE 537
DALLAS, TX 75208
Phone number: 214-943-4599
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