Provider Demographics
NPI:1700648490
Name:DELEON, CHELSEA (DC)
Entity Type:Individual
Prefix:DR
First Name:CHELSEA
Middle Name:
Last Name:DELEON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13930 FAR HILLS LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240-3739
Mailing Address - Country:US
Mailing Address - Phone:832-397-9529
Mailing Address - Fax:
Practice Address - Street 1:1501 N TRADE DAYS BLVD
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:TX
Practice Address - Zip Code:75103-9775
Practice Address - Country:US
Practice Address - Phone:214-884-8141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15466111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor