Provider Demographics
NPI:1457349524
Name:DE LEON, JOSE FRANCISCO (M D)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:FRANCISCO
Last Name:DE LEON
Suffix:
Gender:M
Credentials:M D
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Other - Credentials:
Mailing Address - Street 1:1330 PRUDENTIAL DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75235-4125
Mailing Address - Country:US
Mailing Address - Phone:214-879-3505
Mailing Address - Fax:214-879-3507
Practice Address - Street 1:1330 PRUDENTIAL DR
Practice Address - Street 2:SUITE 100
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75235-4125
Practice Address - Country:US
Practice Address - Phone:214-879-3505
Practice Address - Fax:214-879-3507
Is Sole Proprietor?:No
Enumeration Date:2005-10-12
Last Update Date:2015-08-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXK2890207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX029794701Medicaid
TX029794701Medicaid