Provider Demographics
NPI:1063581791
Name:LEDER, STUART ANDREW (MD)
Entity type:Individual
Prefix:DR
First Name:STUART
Middle Name:ANDREW
Last Name:LEDER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9200 NEW TRAILS DR
Mailing Address - Street 2:SUITE 100A
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77381-5256
Mailing Address - Country:US
Mailing Address - Phone:281-364-9509
Mailing Address - Fax:281-364-0984
Practice Address - Street 1:9200 NEW TRAILS DR
Practice Address - Street 2:SUITE 100A
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77381-5256
Practice Address - Country:US
Practice Address - Phone:281-364-9509
Practice Address - Fax:281-364-0984
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2015-04-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXH76262084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX166579601Medicaid
TX166579601Medicaid
TX8C0277Medicare PIN