Individual provider · Type 1 NPI
Leticha Antonionette Leos, PA
Physician Assistant · Fort Worth, TX
Practice location
900 8th Ave
Fort Worth, TX 76104-3902
Fax (972) 666-0792
Mailing address
PO Box 93175
Southlake, TX 76092-1175
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | PA16874 (TX) |
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 1437798295
Leticha Antonionette Leos, PA's National Provider Identifier is 1437798295, issued on Dec 26, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Worth, TX. The record was last updated on Jun 30, 2026.