Provider Demographics
NPI:1316241144
Name:SLANN, LEONARD JOSEPH III (CRNA)
Entity type:Individual
Prefix:
First Name:LEONARD
Middle Name:JOSEPH
Last Name:SLANN
Suffix:III
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2711 CHERRY TREE LN
Mailing Address - Street 2:
Mailing Address - City:MANVEL
Mailing Address - State:TX
Mailing Address - Zip Code:77578-2048
Mailing Address - Country:US
Mailing Address - Phone:806-252-2571
Mailing Address - Fax:
Practice Address - Street 1:2711 CHERRY TREE LN
Practice Address - Street 2:
Practice Address - City:MANVEL
Practice Address - State:TX
Practice Address - Zip Code:77578-2048
Practice Address - Country:US
Practice Address - Phone:806-252-2571
Practice Address - Fax:888-501-4807
Is Sole Proprietor?:No
Enumeration Date:2011-01-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX708315367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered