Provider Demographics
NPI:1144717570
Name:CASANOVA RODRIGUEZ, LEONEL (MD)
Entity type:Individual
Prefix:DR
First Name:LEONEL
Middle Name:
Last Name:CASANOVA RODRIGUEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:LEONEL
Other - Middle Name:
Other - Last Name:CASANOVA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1416 SPRING CYPRESS RD
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77373-2507
Mailing Address - Country:US
Mailing Address - Phone:281-719-5215
Mailing Address - Fax:281-362-5002
Practice Address - Street 1:1416 SPRING CYPRESS RD
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77373-2507
Practice Address - Country:US
Practice Address - Phone:281-719-5215
Practice Address - Fax:281-362-5002
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-20
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT3048207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine