Individual
JEREMIAS LEODAN BRISENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
5519 DOCTORS DR, EDINBURG, TX 78539-5563
(956) 362-8500
(956) 362-8529
Mailing address
PO BOX 749, PHARR, TX 78577-1614
(956) 362-8500
(956) 362-8529
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA17764
TX
Other
Enumeration date
06/17/2022
Last updated
11/13/2024
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