Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 13329 | TX |
N | 111NS0005X | Chiropractic Sports Physician | 2143 | NM |
NPI | 1366894255 |
---|---|
Provider Name | Dr. Francisco Javier Leon |
First Address | San Antonio, TX 78270-0688 |
Second Address | El Paso, TX 79936 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2016 |
Last Update Date | 10/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
13329 | TEXAS BOARD OF CHIROPRACTIC EXAMINERS (01) | TX |