Organization Active NPI

De Leon Family Practice PLLC

  • Primary Care Clinic/Center
  • Eagle Pass, TX
National Provider Identifier
1619420064
Registry record updated Aug 20, 2016
On this page

Key facts

NPPES NPI Registry
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
Last updated
Aug 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2016

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

Authorized official

Name
Ms. Hilda De Leon, PA-C
Title
Physician Assistant - Certified
Phone
(830) 352-4196

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X PA03199 TX Primary

Addresses

Primary practice location

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

Mailing address

821 Wagon Wheel Rd
Eagle Pass, TX 78852-2456
Phone (830) 352-4196

Other names 1

  • De Leon Family Practice PA-C Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "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"
        }
    ]
}

Other providers in Eagle Pass, TX

Sources for this page

  • 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.