Organization
GEORGE W DELEON MD PA
Active
Other names
George W. DeLeon MD PA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE WAYNE DELEON MD (CEO)
(979) 205-9028
Entity
Organization
Contact information
Practice address
303 N. MCKINNEY STREET, SUITE C, SWEENY, TX 77480
(979) 205-9028
(979) 548-2508
Mailing address
303 N. MCKINNEY STREET, SUITE C, SWEENY, TX 77480
(979) 205-9028
(979) 548-2508
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
G1370
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110420002
—
TX
Enumeration date
05/17/2007
Last updated
11/24/2020
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