Provider Demographics
NPI:1417142134
Name:DELEON, KORINA M (MD)
Entity Type:Individual
Prefix:
First Name:KORINA
Middle Name:M
Last Name:DELEON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:333 N SANTA ROSA ST
Mailing Address - Street 2:SUITE D4023
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78207-3108
Mailing Address - Country:US
Mailing Address - Phone:469-282-2711
Mailing Address - Fax:469-282-2609
Practice Address - Street 1:7007 BANDERA RD
Practice Address - Street 2:STE 19
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78238-1138
Practice Address - Country:US
Practice Address - Phone:210-680-6000
Practice Address - Fax:210-680-9153
Is Sole Proprietor?:No
Enumeration Date:2007-09-06
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
TXM5125208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8G8248OtherBCBS
TX190037502Medicaid
TX94981OtherCARELINK
TX1201900375Medicaid
TXJ0150244OtherDPS REGISTRATION
TXJ0150244OtherDPS REGISTRATION
TXJ0150244OtherDPS REGISTRATION