Most Relevant Information
Provider Data
| NPI Number: | 1003562521 |
| Provider Name: | LEAH KATHLEEN BRACKEN |
| Entity Type: | Individual |
| Taxonomy Code: | 2355S0801X |
| Specialty: | Specialist/Technologist |
| License Number: | 42380 |
Most Important Dates
| Enumeration Date: | 02/23/2022 |
| Last Updated: | 02/23/2022 |
Provider Practice Location
505 N SAM HOUSTON PKWY E STE 615
HOUSTON
TX
770604098
Practice Location Phone/Fax
| Phone: | 8324843756 |
| Fax: |
Provider Mailing Location
2014 ROANWOOD DR
HOUSTON
TX
770902031
Provider Mailing Phone/Fax
| Phone: | 8182942499 |
| Fax: |