Provider Demographics
NPI:1902324551
Name:LEADING EDGE EMERGENCY PHYSICIANS, INC
Entity Type:Organization
Organization Name:LEADING EDGE EMERGENCY PHYSICIANS, INC
Other - Org Name:LEEP EL PASO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF MEDICAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GEORGE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-637-1003
Mailing Address - Street 1:8686 NEW TRAILS DR SUITE 100
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77381-1176
Mailing Address - Country:US
Mailing Address - Phone:713-637-1146
Mailing Address - Fax:281-298-5311
Practice Address - Street 1:13600 HORIZON BLVD SUITE 100
Practice Address - Street 2:
Practice Address - City:HORIZON CITY
Practice Address - State:TX
Practice Address - Zip Code:79928
Practice Address - Country:US
Practice Address - Phone:915-407-7878
Practice Address - Fax:915-852-1804
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LEADING EDGE EMERGENCY PHYSICIANS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-09-05
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty