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ISIDRO G DELEON DO PA NPI 1528001526


NPI Information

NPI: 1528001526
Provider Name: ISIDRO G DELEON DO PA

Doing Business As: SEALY FAMILY PRACTICE CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 45D1027211

Address:
826 S MEYER ST
SEALY, TX
ZIP 77474
Phone: (979) 627-0795
Get Directions

ISIDRO G DELEON DO PA is a family medicine in Sealy, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ISIDRO G DELEON DO PA NPI is 1528001526. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Sealy Family Practice Clinic.

The provider's business location address is:

826 S MEYER ST
SEALY, TX
ZIP 77474-433
Phone: (979) 627-0795
Fax: (979) 627-0799

The provider's authorized official is Isidro G De Leon .
The authorized official title is President/ceo and has the following contact phone number (979) 627-0795.

The CLIA number assigned to this NPI record is 45D1027211 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/14/2006 and was last updated on 8/31/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineK7714TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100515ROTHERTEXASBCBS
25658340001OTHERTEXASMEDICARE NSC
3144735101MEDICAIDTEXAS
400515ROTHERTEXASMEDICARE
5CH7975OTHERTEXASRAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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