Basic Information
Provider Information
NPI: 1003802240
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HSIAO
FirstName: LEO
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 909 FROSTWOOD DR STE 1.100
Address2:  
City: HOUSTON
State: TX
PostalCode: 770242301
CountryCode: US
TelephoneNumber: 7133386353
FaxNumber:  
Practice Location
Address1: 7600 BEECHNUT ST FL 8
Address2:  
City: HOUSTON
State: TX
PostalCode: 770744302
CountryCode: US
TelephoneNumber: 7134565686
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/22/2005
LastUpdateDate: 03/26/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/26/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X34424AZN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000XR9369TXN Allopathic & Osteopathic PhysiciansInternal Medicine 
208M00000XR9369TXY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


Home