Provider Demographics
NPI:1952741795
Name:TIO, LEON (DO)
Entity Type:Individual
Prefix:DR
First Name:LEON
Middle Name:
Last Name:TIO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 8TH AVE STE 506
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104-2604
Mailing Address - Country:US
Mailing Address - Phone:817-386-3632
Mailing Address - Fax:866-245-0073
Practice Address - Street 1:800 8TH AVE STE 506
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-2604
Practice Address - Country:US
Practice Address - Phone:817-386-3632
Practice Address - Fax:866-245-0073
Is Sole Proprietor?:No
Enumeration Date:2013-06-25
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ8167207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine