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Individual

MRS. JESSICA LEAL-PORRAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
5128 N 10TH ST, MCALLEN, TX 78504-2834
(956) 631-3831
(956) 631-5537
Mailing address
5128 N 10TH ST, MCALLEN, TX 78504-2834
(956) 631-3831
(956) 631-5537

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA02609
TX
363AM0700X
Medical Physician Assistant
Primary
PA02609
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
217465801
TX
Enumeration date
01/02/2007
Last updated
02/14/2011
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