MARISSA RENEE DE LEON (NPI# 1194187682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194187682 |
| Entity Type | Individual |
| Full Name | MARISSA RENEE DE LEON |
| Credential | PA-C |
| Practice Address |
2106 Hale Ave Harlingen TX 78550-8408 |
| Practice Telephone | 9564239111 |
| Mailing Telephone | 9564239111 |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2018-02-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA10429 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2106 HALE AVE |
| City | HARLINGEN |
| State | TX |
| Zip Code | 78550-8408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114901626 | Juan Antonio Maldonado | Family Medicine | 2106 Hale Ave, Harlingen, TX 78550-8408 | 2005-11-30 |
| 1902880487 | Juan A Maldonado Md Pa | Family Medicine | 2106 Hale Ave, Harlingen, TX 78550-8408 | 2005-11-30 |
| 1588648075 | Robert Fred Holder | Family Medicine | 2106 Hale Ave, Harlingen, TX 78550-8408 | 2005-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598378077 | Bruce Dylan Bauer | Pharmacist | 1921 South Sunshine Strip, Harlingen, TX 78550 | 2020-08-25 |
| 1952920647 | Av Rehab LLC | Skilled Nursing Facility | 2902 S 77 Sunshine Strip, Harlingen, TX 78550 | 2020-04-13 |
| 1982260105 | Daniella Concha | Student in an Organized Health Care Education/Training Program | 3102 Haine Drive, Apt 411, Harlingen, TX 78550 | 2019-05-13 |
| 1669036539 | Ayman Khaddam | Student in an Organized Health Care Education/Training Program | 2121 Pease Street, Mob Suite 200, Vbmc - Utrgv Im, Harlingen, TX 78550 | 2019-04-26 |
| 1104382738 | Abrazos De Jesus Healthcare, LLC | Home Health | 804 N Commerce, Harlingen, TX 78550 | 2019-02-19 |
| 1912462136 | Deep Sea Dental Pllc | Clinic/Center | 603 South Expressway 83, Suite H2, Harlingen, TX 78550 | 2019-02-01 |
| 1710442082 | Mary Angela Alexander | Dietitian, Registered | 1740 Christian Cir, Harlingen, TX 78550 | 2019-01-31 |
| 1376025080 | El Valle Quality Home Care | Technician | 1212 E. Harrison Ave, Suite 136, Harlingen, TX 78550 | 2018-08-30 |
| 1144717547 | Velma Hughes | Nurse Practitioner | 2424 Riverside Drive, Harlingen, TX 78550 | 2018-04-20 |
| 1730686494 | Angelica Maria Ortiz | Student in an Organized Health Care Education/Training Program | Utrgv Psychiatry Residency Program, 2102 Treasure Hills Blvd, Harlingen, TX 78550 | 2018-04-10 |
| Find all providers in zip 78550 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407411275 | Torie Katelin Slagle | Physician Assistant | 1214 Dixieland Rd Ste 8, Harlingen, TX 78552-3314 | 2019-05-07 |
| 1073881496 | Sharon Green Machner | Physician Assistant | 1713 Treasure Hills Blvd Ste 1d, Harlingen, TX 78550-8913 | 2011-12-13 |
| 1598761504 | Juan Manuel Briones | Physician Assistant | 707 W Sesame Dr, Harlingen, TX 78550-9289 | 2005-06-23 |
| 1396206983 | Miriam Daniela De Leon | Physician Assistant | 512 Victoria Ln Ste 2, Harlingen, TX 78550-3227 | 2019-03-27 |
| 1649666991 | Rgv Wellness Center LLC | Physician Assistant | 512 Victoria Ln Ste 2, Harlingen, TX 78550-3227 | 2015-04-14 |
| 1487045464 | Christopher Dennett | Physician Assistant | 5505 S Expressway 77 Ste 303, Harlingen, TX 78550-3222 | 2015-02-11 |
| 1215352984 | Angelica Van Atten | Physician Assistant | 5505 S Expressway 77, Suite 304, Harlingen, TX 78550-3214 | 2014-03-04 |
| 1306144407 | Amy Stella Garza | Physician Assistant | 2101 Pease St, Suite 1g, Harlingen, TX 78550-8307 | 2011-03-14 |
| 1982915971 | Rafael Olacio Jr. | Physician Assistant | 512 Victoria Ln, Suite 12, Harlingen, TX 78550-3226 | 2010-06-24 |
| 1003047523 | Maribel Deponce | Physician Assistant | 512 Victoria Ln, Suite 2, Harlingen, TX 78550-3226 | 2009-07-31 |
| Find all providers in HARLINGEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.