Individual
SAMUEL DE LEON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
25658 N FM 506, LA FERIA, TX 78559-4260
(956) 797-3750
(956) 797-3795
Mailing address
25658 N FM 506, LA FERIA, TX 78559-4260
(956) 797-3750
(956) 797-3795
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1000372
TX
Other
Enumeration date
09/09/2011
Last updated
10/31/2011
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