Individual
DR. JEAN MARIE DELEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3504 SWISS AVE, SUITE 100, DALLAS, TX 75204-6224
(214) 820-9895
(214) 820-9689
Mailing address
3504 SWISS AVE, SUITE 100, DALLAS, TX 75204-6224
(214) 820-9895
(214) 820-9689
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
J4074
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119336904
—
TX
05
—
119336905
—
TX
01
—
8F8835
BCBS
TX
Enumeration date
07/26/2006
Last updated
05/12/2011
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