George W Deleon MD PA

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

G1370 Issued in TX

Legal business name

GEORGE W DELEON MD PA

Practice address

303 N. McKinney Street
Suite C
Sweeny, TX 77480

Phone

(979) 205-9028

Fax

(979) 548-2508

NPI assigned

May 17, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. George Wayne Deleon, MDNPI 1376602409

Title

Ceo

Phone

(979) 205-9028

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• George W. DeLeon MD PA Former legal business name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• George Wayne Deleon, MD

  • Anesthesiology Physician
  • Lake Jackson, TX
  • NPI 1376602409

  TX

  Medicare reassignment NPD Authorized official
• Sherry Leigh Wall, MSN RN-ANP-C

  • Nurse Practitioner
  • Sueeny, TX
  • NPI 1083860480
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1497962344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N. MCKINNEY STREET",
            "address_2": "SUITE C",
            "city": "SWEENY",
            "state": "TX",
            "postal_code": "77480",
            "telephone_number": "979-205-9028",
            "fax_number": "979-548-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N. MCKINNEY STREET",
            "address_2": "SUITE C",
            "city": "SWEENY",
            "state": "TX",
            "postal_code": "77480",
            "telephone_number": "979-205-9028",
            "fax_number": "979-548-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE W DELEON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "DELEON",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "979-205-9028",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "TX",
            "license": "G1370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110420002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "George W. DeLeon MD PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• David T. Barr, MD PA
• Derek C Funk DDS PC
• Richard Carlton Erickson, D.O.
• Ethan Eddie Chambliss
• Andrea Kathleen Fenn, R.N.
• Wilma Jeannette Hardesty, PT DPT
• C Jones
• K & S Mobile Labs
• Amy Lynn Keffer, MD
• Jennifer L Kucera, FNP-C

• All providers in Sweeny, TX
• Pain Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.