Deleonibus, John Gerard
Deleonibus, John Gerard is an sole proprietor health care provider with primary practice located at 2800 S Texas Ave Ste 102 , Bryan TX 77802-5361. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Deleonibus, John Gerard can be contacted via phone (443) 758-6090.Contact Information
Primary practice address
2800 S Texas Ave Ste 102
Bryan TX 77802-5361
Phone: (443) 758-6090
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA14181 | Texas |
Profile Details
NPI number | 1669034310 |
---|---|
LBN Legal business name | Deleonibus, John Gerard |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 2nd, 2019 |
Last updated | Dec 30th, 2020 - about 5 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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