Individual
KORINA M DELEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M5125
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1201900375
—
TX
05
—
190037502
—
TX
01
—
8G8248
BCBS
TX
01
—
94981
CARELINK
TX
01
—
J0150244
DPS REGISTRATION
TX
Enumeration date
09/06/2007
Last updated
03/07/2023
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