Organization
A AND E PROFESSIONALSERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE ANTONIO DE LEON JR. CSFA/CST (OWNER)
(956) 898-2100
Entity
Organization
Contact information
Practice address
2105 LANE ST, LAREDO, TX 78043-2628
(956) 898-2100
Mailing address
2105 LANE ST, LAREDO, TX 78043-2628
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
11/23/2016
Last updated
11/23/2016
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