Leon, Sergio A
Leon, Sergio A is an sole proprietor health care provider with primary practice located at 3030 North St Ste 450 , Beaumont TX 77702-1434. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Leon, Sergio A can be contacted via phone (409) 832-9600.Contact Information
Primary practice address
3030 North St Ste 450
Beaumont TX 77702-1434
Phone: (409) 832-9600
Fax: (409) 832-9310
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | ME 104595 | Florida |
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | D0071211 | Maryland |
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 0101249525 | Virginia |
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | S4806 | Texas |
Profile Details
| NPI number | 1083814057 |
|---|---|
| LBN Legal business name | Leon, Sergio A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2007 |
| Last updated | Apr 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083814057 | NPPES |
| Texas | Other | 939915 | MEDICARE |
| Texas | Other | P00815670 | MEDICARE |
| Texas | Other | 1K1864 | MEDICARE |
| Texas | Other | P02601534 | MEDICARE |
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