Provider Demographics
NPI:1588793525
Name:BELCHER, LEON H II (DPM)
Entity type:Individual
Prefix:DR
First Name:LEON
Middle Name:H
Last Name:BELCHER
Suffix:II
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4305 FERNWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77021-1640
Mailing Address - Country:US
Mailing Address - Phone:713-643-4500
Mailing Address - Fax:713-649-1305
Practice Address - Street 1:4928 GRIGGS RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77021-3251
Practice Address - Country:US
Practice Address - Phone:713-643-4500
Practice Address - Fax:713-649-1305
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2015-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1122213EP1101X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX092780801Medicaid
TX092780801Medicaid
TX00F36CMedicare ID - Type Unspecified