Most Relevant Information
Provider Data
| NPI Number: | 1003024944 |
| Provider Name: | JOSE L DE LEON P.A.-C. |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | PA02223 |
Most Important Dates
| Enumeration Date: | 05/21/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
913 S MAIN ST
DEL RIO
TX
788405807
Practice Location Phone/Fax
| Phone: | 8307752234 |
| Fax: | 8307757325 |
Provider Mailing Location
913 S MAIN ST
DEL RIO
TX
788405807
Provider Mailing Phone/Fax
| Phone: | 8307752234 |
| Fax: | 8307757325 |