Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 0409 | TX |
NPI | 1407865447 |
---|---|
Provider Name | Paul D Leon |
First Address | Mckinney, TX 75071-7824 |
Second Address | Mckinney, TX 75071-7824 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2006 |
Last Update Date | 06/09/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
092732901 | (05) | TX |
BL5161182 | DEA NUMBER (01) | TX |
T14382 | (02) | TX |