Provider Demographics
NPI:1699726000
Name:LEUNG, TOAN (MD)
Entity type:Individual
Prefix:
First Name:TOAN
Middle Name:
Last Name:LEUNG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6004 UPVALLEY RUN
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-3672
Mailing Address - Country:US
Mailing Address - Phone:512-407-8025
Mailing Address - Fax:
Practice Address - Street 1:1301 WONDER WORLD DR
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-7533
Practice Address - Country:US
Practice Address - Phone:512-753-3796
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-12
Last Update Date:2008-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9318207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX171050102Medicaid
TX8G5594OtherBCBS
TX171050103OtherCSHCN
TX8P6550OtherBCBS
TX171050102OtherCSHCN
TX171050103Medicaid
TX171050104Medicaid
TX171050106OtherCSHCN
TX8F6874OtherBCBS
TX8F6874OtherBCBS
TX8G5920Medicare PIN
TX171050103OtherCSHCN
TX8G5594OtherBCBS
TX171050102OtherCSHCN
TXP00324334Medicare PIN
TXP00366177Medicare PIN
TX8D5234Medicare PIN