Mary Olivia De Leon, FNP is a
Clinical Nurse Specialist - Pediatrics based in Brownsville, Texas. Mary Olivia De Leon is licensed to practice in Texas (license number 670508) and her current practice location is
4920 N. Expressway,, Alton Gloor Plaza#101, Brownsville, Texas. She can be reached at her office (for appointments etc.) via phone at
(956) 350-5530.
NPI number for Mary Olivia De Leon is 1609104066 and her current mailing address is 1474 W. Price Rd, Ste 7 Box 536, Brownsville, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1609104066.
Provider's Profile
Full Name | Mary Olivia De Leon |
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Gender | Female |
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Speciality | Clinical Nurse Specialist - Pediatrics |
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Location | 4920 N. Expressway,, Brownsville, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1609104066
- Provider Enumeration Date: 11/24/2009
- Last Update Date: 10/07/2011
Medical Identifiers
Medical identifiers for Mary Olivia De Leon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609104066 | NPI | - | NPPES |
1336125046 | Medicaid | TX | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
364SP0200X | Clinical Nurse Specialist - Pediatrics | 670508 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Olivia De Leon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mary Olivia De Leon, FNP 1474 W. Price Rd, Ste 7 Box 536, Brownsville, TX 78520-8675 Ph: (956) 350-5530 | Mary Olivia De Leon, FNP 4920 N. Expressway,, Alton Gloor Plaza#101, Brownsville, TX 78526 Ph: (956) 350-5530 |
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