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Individual

MARIA LILIAN LEON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
5315 ROSS AVE, DALLAS, TX 75206-7418
(214) 826-2151
(214) 826-2196
Mailing address
3230 INTERSTATE 30 STE 100, MESQUITE, TX 75150-2662
(972) 682-1791
(972) 698-7641

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
Q4175
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010562155
TX
Enumeration date
02/05/2013
Last updated
12/18/2020
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