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Individual

MR. GEORGE WAYNE DELEON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
728 LAKE RD, LAKE JACKSON, TX 77566-4919
(979) 824-5095
Mailing address
728 LAKE RD, LAKE JACKSON, TX 77566-4919
(979) 824-5095

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
042-0019285
VT
207L00000X
Anesthesiology Physician
Primary
3135-320
WI
207L00000X
Anesthesiology Physician
G1370
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110420002
TX
Enumeration date
12/06/2006
Last updated
03/11/2026
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