Provider Demographics
NPI:1922872357
Name:DE LEON, SABRINA ABIGAIL GUEVARA (PA)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:ABIGAIL GUEVARA
Last Name:DE LEON
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:SABRINA
Other - Middle Name:ABIGAIL
Other - Last Name:GUEVARA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:7211 PRESTON RD STE 1200
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-0238
Mailing Address - Country:US
Mailing Address - Phone:469-303-3000
Mailing Address - Fax:469-303-4510
Practice Address - Street 1:7211 PRESTON RD STE 1200
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-0238
Practice Address - Country:US
Practice Address - Phone:469-303-3000
Practice Address - Fax:469-303-4510
Is Sole Proprietor?:No
Enumeration Date:2023-11-07
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA17565363AS0400X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical