Provider Demographics
NPI:1427603059
Name:DELEON, MONICA (LMT)
Entity Type:Individual
Prefix:MS
First Name:MONICA
Middle Name:
Last Name:DELEON
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10750 BARKER CYPRESS RD STE 103
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-2282
Mailing Address - Country:US
Mailing Address - Phone:832-941-7496
Mailing Address - Fax:281-994-7739
Practice Address - Street 1:10750 BARKER CYPRESS RD STE 103
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-2282
Practice Address - Country:US
Practice Address - Phone:832-941-7496
Practice Address - Fax:281-994-7739
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-09
Last Update Date:2019-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT131859225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist