| De Leon Family Practice Pa-c | |
|
1975 N Veterans Blvd Suite 6 Eagle Pass TX 78852-6114 | |
| (830) 758-1633 | |
| (830) 773-6989 |
| Full Name | De Leon Family Practice Pa-c |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1975 N Veterans Blvd, Eagle Pass, Texas |
| Authorized Official Name and Position | Hilda De Leon (PHYSICIAN ASSISTANT - CERTIFIED) |
| Authorized Official Contact | 8303524196 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| De Leon Family Practice Pa-c 821 Wagon Wheel Rd Eagle Pass TX 78852-2456 Ph: (830) 352-4196 | De Leon Family Practice Pa-c 1975 N Veterans Blvd Suite 6 Eagle Pass TX 78852-6114 Ph: (830) 758-1633 |
| NPI Number | 1619420064 |
|---|---|
| Provider Enumeration Date | 08/02/2016 |
| Last Update Date | 08/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619420064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | PA03199 (Texas) | Primary |
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