Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JERRY WAYNE LEISURE, PA C
ActiveMR. JERRY WAYNE LEISURE, PA C is a Physician Assistant healthcare provider located in WINFIELD, Texas. NPI 1356556906 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · WINFIELD, TX
Registration Details
- NPI Number
- 1356556906
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 14, 2007 (19.234514349258 yrs)
- Last Updated
- Jul 10, 2015
- License
-
PA00032 (TX)
Practice Information
- Address
-
108 6TH STWINFIELD, TX, 75493Browse TX providers · Browse ZIP 75493
- Phone
- 9035244700
- Fax
- 9035244900
- Primary Specialty
-
Physician Assistant
363A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.