1124333703 NPI number — DR. JOANNA LEUNG GESLANI D.O.

Table of content: DR. JOANNA LEUNG GESLANI D.O. (NPI 1124333703)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1124333703 NPI number — DR. JOANNA LEUNG GESLANI D.O.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GESLANI
Provider First Name:
JOANNA
Provider Middle Name:
LEUNG
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.O.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LEUNG
Provider Other First Name:
JOANNA
Provider Other Middle Name:
QUEENS
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
D.O.
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1124333703
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/23/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8144 WALNUT HILL LN
Provider Second Line Business Mailing Address:
SUITE 800
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75231-4345
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
214-540-0700
Provider Business Mailing Address Fax Number:
214-540-0701

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8144 WALNUT HILL LN
Provider Second Line Business Practice Location Address:
SUITE 800
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75231-4345
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-540-0700
Provider Business Practice Location Address Fax Number:
214-540-0701
Provider Enumeration Date:
08/08/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  Q5655 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207R00000X , with the licence number: BP10037460 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207R00000X , with the licence number: FG3893612 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RR0500X , with the licence number: 20A12753 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RR0500X , with the licence number: FG3893612 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RR0500X , with the licence number: Q5655 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)