Individual provider · Type 1 NPI
Gabrielle Leysock
Medical Physician Assistant · College Station, TX
NPI number
1124896774
Active
Practice location
1651 Rock Prairie Rd Ste 103
College Station, TX 77845-8652
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | None listed |
| Medical Physician Assistant Primary | 363AM0700X | PA19019 (TX) |
Medical Physician Assistant: Definition to come...
2 other providers at this address
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About NPI 1124896774
Gabrielle Leysock's National Provider Identifier is 1124896774, issued on Dec 13, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in College Station, TX. The record was last updated on Mar 12, 2026.