De Leon, Miriam Daniela

De Leon, Miriam Daniela is an individual health care provider with primary practice located at 512 Victoria Ln Ste 2 , Harlingen TX 78550-3227. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. De Leon, Miriam Daniela can be contacted via phone (956) 365-4400.

Contact Information

Primary practice address
512 Victoria Ln Ste 2 Harlingen TX 78550-3227
Phone: (956) 365-4400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1396206983
LBN Legal business name De Leon, Miriam Daniela
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2019
Last updated Apr 22nd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396206983 NPPES
Texas MEDICAID 40294401

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