Provider Demographics
NPI:1902309321
Name:BURGS, LEIGHA JANIECE (HAIR LOSS SPECIALIST)
Entity Type:Individual
Prefix:
First Name:LEIGHA
Middle Name:JANIECE
Last Name:BURGS
Suffix:
Gender:F
Credentials:HAIR LOSS SPECIALIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2012 ORCHARD SPRING DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581-2239
Mailing Address - Country:US
Mailing Address - Phone:281-808-4312
Mailing Address - Fax:
Practice Address - Street 1:6509 WESTHEIMER RD UNIT 6511
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-5145
Practice Address - Country:US
Practice Address - Phone:832-767-2328
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-12
Last Update Date:2018-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management