Dr. Sergio A Leon
Rheumatology
3030 North St Ste 450
Beaumont
, Texas 77702-1434
Dr. Sergio A Leon
Rheumatology
3030 North St Ste 450
Beaumont
, Texas 77702-1434
(903) 614-5343
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About
Features
Specialties
- Rheumatology
Languages spoken
- English
Location
First Address
- Dr. Sergio A Leon
- 2900 Saint Michael Dr Ste 401
- Texarkana, TX
- Zip : 75503-5211
- Fax : (903) 614-5343
- Phone : (903) 614-5367
Second Address
- Dr. Sergio A Leon
- 3030 North St Ste 450
- Beaumont, TX
- Zip : 77702-1434
- Fax : (409) 832-9310
- Phone : (409) 832-9600
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Is Dr. Sergio A Leon a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RR0500X | Rheumatology | 0101249525 | VA |
| N | 207RR0500X | Rheumatology | D0071211 | MD |
| N | 207RR0500X | Rheumatology | ME 104595 | FL |
| Y | 207RR0500X | Rheumatology | S4806 | TX |
National Provider Identifier
| NPI | 1083814057 |
|---|---|
| Provider Name | Dr. Sergio A Leon |
| First Address | Texarkana, TX 75503-5211 |
| Second Address | Beaumont, TX 77702-1434 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/07/2007 |
| Last Update Date | 13/04/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1K1864 | MEDICARE (01) | TX |
| 939915 | MEDICARE (01) | TX |
| P00815670 | RAILROAD MEDICARE (01) | FL |
| P02601534 | MCRR (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.