Individual provider · NPI-1

Jeffrey K Leitko, MD

Radiology, Diagnostic Radiology · Hurst, TX

NPI number1245374537
StatusActive
Last updated in NPPESAug 18, 2016

Details

NPI
1245374537
Entity type
Individual (NPI-1)
Name
Jeffrey K Leitko
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Feb 19, 2007
Last updated
Aug 18, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic Radiology052198GAYes
2085R0202X Radiology, Diagnostic RadiologyM5813TX

Practice location

1845 Precinct Line Rd Ste 209
Second Floor
Hurst, TX 76054-3109

Phone 817-336-4638 · Fax 817-336-7637

Mailing address

1845 Precinct Line Rd Ste 209
Second Floor
Hurst, TX 76054-3109

Phone 817-336-4638 · Fax 817-336-7637

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