Provider Demographics
NPI:1407865447
Name:LEON, PAUL D (DPM)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:D
Last Name:LEON
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:5337 W UNIVERSITY DR
Mailing Address - Street 2:STE 100
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-7824
Mailing Address - Country:US
Mailing Address - Phone:972-569-9781
Mailing Address - Fax:972-548-7994
Practice Address - Street 1:5337 W UNIVERSITY DR
Practice Address - Street 2:STE 100
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-7824
Practice Address - Country:US
Practice Address - Phone:469-662-8002
Practice Address - Fax:972-548-7994
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-07
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX0409213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX092732901Medicaid
TXBL5161182OtherDEA NUMBER
TX092732901Medicaid