Individual
DR. CLARISSA MYRA DELEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5430 FREDERICKSBURG RD, SUITE 508, SAN ANTONIO, TX 78229-3539
(210) 541-8281
(210) 541-9123
Mailing address
5430 FREDERICKSBURG RD, SUITE 508, SAN ANTONIO, TX 78229-3539
(210) 541-8281
(210) 541-9123
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
BP10035446
TX
208000000X
Pediatrics Physician
P4154
TX
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
P4154
TX
Other
Enumeration date
06/24/2009
Last updated
12/29/2020
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