| Irma F. De Leon Md Pc | |
|
333 Whitesport Dr Sw Suite 203 Huntsville AL 35801-6454 | |
| (256) 213-7425 | |
| (256) 213-9950 |
| Full Name | Irma F. De Leon Md Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 333 Whitesport Dr Sw, Huntsville, Alabama |
| Authorized Official Name and Position | Irma May Avila Fernandez De Leon (PRESIDENT) |
| Authorized Official Contact | 2562137425 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Irma F. De Leon Md Pc 333 Whitesport Dr Sw Suite 203 Huntsville AL 35801-6454 Ph: (256) 213-7425 | Irma F. De Leon Md Pc 333 Whitesport Dr Sw Suite 203 Huntsville AL 35801-6454 Ph: (256) 213-7425 |
| NPI Number | 1184818882 |
|---|---|
| Provider Enumeration Date | 09/05/2007 |
| Last Update Date | 09/05/2007 |
| Medicare PECOS PAC ID | 9436242187 |
|---|---|
| Medicare Enrollment ID | O20070911000577 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184818882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 18151 (Alabama) | Primary |
| Provider Name | Irma May A Fernandez Deleon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497965206 PECOS PAC ID: 1052404704 Enrollment ID: I20070911000607 |
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