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Individual

MR. JUAN CARLOS DE LEON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LSA

Contact information

Practice address
1 SUGAR CREEK CENTER BLVD STE 618, SUGAR LAND, TX 77478-3540
(832) 655-4141
(713) 457-5188
Mailing address
1 SUGAR CREEK CENTER BLVD STE 618, SUGAR LAND, TX 77478-3540
(832) 655-4141
(713) 457-5188

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
09-136
TX
246ZC0007X
Surgical Assistant
Primary
SA00728
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8LH890
BCBS - BLUE STAR SURGICAL ASSISTANTS LLC
TX
01
8LV100
BCBS - UNIVERSAL SURGICAL ASSISTANTS
TX
01
8LV183
BCBC - UNIVERSAL SURGICAL PARTNERS
TX
01
8LV409
XCITE SURGICAL LLC
TX
01
8PX982
BCBS - US MSO
TX
01
SA00728
TEXAS MEDICAL BOARD
TX
Enumeration date
05/14/2009
Last updated
04/21/2026
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