Provider Demographics
NPI:1427065986
Name:TOOMBS, LEIF (DC)
Entity type:Individual
Prefix:DR
First Name:LEIF
Middle Name:
Last Name:TOOMBS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 AIRLINE
Mailing Address - Street 2:STE. 8
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-3962
Mailing Address - Country:US
Mailing Address - Phone:361-575-1021
Mailing Address - Fax:361-575-4613
Practice Address - Street 1:300 AIRLINE
Practice Address - Street 2:STE. 8
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-3962
Practice Address - Country:US
Practice Address - Phone:361-575-1021
Practice Address - Fax:361-575-4613
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2010-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2575111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4333985OtherAETNA
TX001076101Medicaid
TX8778423210OtherUHC
TX4333985OtherAETNA
TX8778423210OtherUHC
T16318Medicare UPIN