LEO L FITZGERALD JR. (NPI# 1316110679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316110679 |
| Entity Type | Individual |
| Full Name | LEO L FITZGERALD JR. |
| Credential | MD |
| Practice Address |
2046 Forest Lane #180 Garland TX 75042 |
| Practice Telephone | 9724941419 |
| Practice Fax Number | 9724942069 |
| Mailing Telephone | 9724941419 |
| Mailing Fax Number | 9724942069 |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | C7992 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
2046 FOREST LANE #180 |
| City | GARLAND |
| State | TX |
| Zip Code | 75042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669436200 | Evelio D Garcia | Internal Medicine | 2046 Forest Lane, Suite 100, Garland, TX 75042 | 2006-04-12 |
| 1518187889 | Garland Cardiac Imaging | Internal Medicine | 2046 Forest Lane, Ste 100, Garland, TX 75042 | 2007-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699259697 | Abiodun Gloria Irabor-musa | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3106 Centennial Dr, Garland, TX 75042 | 2018-09-17 |
| 1356870620 | Brad Taylor Landrum | Family Medicine | 601 Clara Barton Blvd., Suite 340, Garland, TX 75042 | 2017-06-08 |
| 1043662034 | Alicia Valdiviezo | Physician Assistant | 2046 Forest Ln Ste 130, Garland, TX 75042 | 2016-07-01 |
| 1053711184 | Jamette Hickman | Physical Therapist | 705 Walter Reed Blvd Suite 100, Garland, TX 75042 | 2014-08-26 |
| 1619397932 | Saint Catherine Hospice Inc. | Hospice, Inpatient | 4229 Glenhaven Drive, Garland, TX 75042 | 2014-04-25 |
| 1821424094 | Angel Care Team | Adult Companion | 1801 Evelyn Dr., Garland, TX 75042 | 2013-09-19 |
| 1427311042 | Baylor Family Medicine Clinic | Case Manager/Care Coordinator | 601 Clara Barton, 340, Garland, TX 75042 | 2012-06-19 |
| 1003176959 | Benedict Eric Homer | Dentist | 813 North Jupiter Rd., Garland, TX 75042 | 2012-05-25 |
| 1518254929 | Rama Sulochana Narla | Emergency Medicine | 601, Clara Barton Blvd, Ste 340, Garland, TX 75042 | 2011-07-06 |
| 1093002917 | Mecca Group | Community/Behavioral Health | 1213 Patricia Ln, Garland, TX 75042 | 2011-06-29 |
| Find all providers in zip 75042 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1912120874 | National Medical Professionals of Texas, Pllc | General Practice | 738 W Centerville Rd, Garland, TX 75041-5801 | 2007-04-10 |
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| 1659304327 | Thomas R. Morrill | General Practice | 4125 Broadway Blvd Ste 120c, Garland, TX 75043-2500 | 2006-07-08 |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.