De Leon Family Practice PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

PA03199 Issued in TX

Legal business name

DE LEON FAMILY PRACTICE PLLC

Practice address

1975 N Veterans Blvd
Suite 6
Eagle Pass, TX 78852-6114

Phone

(830) 758-1633

Fax

(830) 773-6989

NPI assigned

Aug 2, 2016

Organization subpart

No

Name

Ms. Hilda De Leon, PA-C

Title

Physician Assistant - Certified

Phone

(830) 352-4196

• De Leon Family Practice PA-C Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 20, 2016.

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471651200000",
    "number": "1619420064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 WAGON WHEEL RD",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788522456",
            "telephone_number": "830-352-4196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 N VETERANS BLVD",
            "address_2": "SUITE 6",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788526114",
            "telephone_number": "830-758-1633",
            "fax_number": "830-773-6989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE LEON FAMILY PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-02",
        "last_updated": "2016-08-20",
        "status": "A",
        "authorized_official_last_name": "DE LEON",
        "authorized_official_first_name": "HILDA",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT - CERTIFIED",
        "authorized_official_telephone_number": "830-352-4196",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "PA03199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "De Leon Family Practice PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Sophia Alexandra De Los Santos

• All providers in Eagle Pass, TX
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.