Individual provider · Type 1 NPI

Justin Ray Leal

Home Modifications Contractor · San Antonio, TX

NPI number 1104108067 Active

Practice location

206 E Locust St
San Antonio, TX 78212-3954

Call (210) 572-2530 Map

Fax (210) 212-7234

Mailing address

206 E. Locust St.
San Antonio, TX 78212

Specialties and licenses

TaxonomyCodeLicense
Home Modifications Contractor Primary 171WH0202XH921060 (TX)
Home Modifications Contractor 171WH0202XTS921473 (TX)

Home Modifications Contractor: A contractor who makes modifications to homes to accommodate a health condition.

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About NPI 1104108067

Justin Ray Leal's National Provider Identifier is 1104108067, issued on Sep 15, 2011. The primary taxonomy on file is Home Modifications Contractor (171WH0202X), and the practice location is in San Antonio, TX. The record was last updated on Sep 15, 2011.