Individual provider · Type 1 NPI

John Lewis Leake

Physician Assistant · Fort Worth, TX

NPI number 1114600780 Active

Practice location

800 5th Ave Ste 300
Fort Worth, TX 76104-7303

Call (817) 250-6575 Map

Fax (817) 250-0109

Mailing address

PO Box 5210
Grand Forks, ND 58206-5210

Other practice locations

  • 3674 S Washington St, Grand Forks, ND 58201-5766 · (701) 205-3000

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XPA19359 (TX)
Physician Assistant Primary 363A00000X14199280-1206 (UT)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1114600780

John Lewis Leake's National Provider Identifier is 1114600780, issued on Aug 10, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Worth, TX. The record was last updated on Apr 20, 2026.