Individual
DR. SERGIO A LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3030 NORTH ST STE 450, BEAUMONT, TX 77702-1434
(409) 832-9600
(409) 832-9310
Mailing address
2900 SAINT MICHAEL DR STE 401, TEXARKANA, TX 75503-5211
(903) 614-5367
(903) 614-5343
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
0101249525
VA
207RR0500X
Rheumatology Physician
D0071211
MD
207RR0500X
Rheumatology Physician
ME 104595
FL
207RR0500X
Rheumatology Physician
Primary
S4806
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1K1864
MEDICARE
TX
01
—
939915
MEDICARE
TX
01
—
P00815670
RAILROAD MEDICARE
FL
01
—
P02601534
MCRR
TX
Enumeration date
07/19/2007
Last updated
04/13/2021
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