MARY OLIVIA DE LEON (NPI# 1609104066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609104066 |
| Entity Type | Individual |
| Full Name | MARY OLIVIA DE LEON |
| Credential | F.N.P. |
| Practice Address |
4920 N. Expressway Alton Gloor Plaza#101 Brownsville TX 78526 |
| Mailing Address |
1474 W. Price Rd Ste 7 Box 536 Brownsville TX 78520-8675 |
| Practice Telephone | 9563505530 |
| Practice Fax Number | 9563505527 |
| Mailing Telephone | 9563505530 |
| Mailing Fax Number | 9563505527 |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2011-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0200X |
Clinical Nurse Specialist Specialization: Pediatrics |
670508 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1336125046 | 05 |
| Street Address |
4920 N. EXPRESSWAY, ALTON GLOOR PLAZA#101 |
| City | BROWNSVILLE |
| State | TX |
| Zip Code | 78526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938472 | Eva Gabriela Gonzalez | Speech-Language Pathologist | 1900, 77 N Expy, Suite K, Brownsville, TX 78526 | 2020-07-01 |
| 1598390395 | Miguel Angel Segura | Physical Therapy Assistant | 1900, 77 N Expy Suit K, Brownsville, TX 78526 | 2020-03-12 |
| 1013553072 | Michaela Christine Arteaga | Specialist/Technologist | 15151 Mission Bend Drive, Brownsville, TX 78526 | 2019-11-25 |
| 1871147975 | Madeline Jules Rodriguez | Dentist | 2155 Ruben M Torres Blvd, Suite 4, Brownsville, TX 78526 | 2019-07-26 |
| 1194381616 | Ben Medelez IIi | Physical Therapy Assistant | 4920 N. Expressway 77, Ste C, Brownsville, TX 78526 | 2019-05-10 |
| 1700368297 | Hasayali Mejia | Occupational Therapy Assistant | 4920 N Expressway 77, Suite C, Brownsville, TX 78526 | 2018-08-31 |
| 1801381983 | J&m Home Health LLC | Home Health | 183 Kleberg Avenue, Brownsville, TX 78526 | 2018-06-29 |
| 1407346158 | Ignite Physical Therapy | Clinic/Center | 1805 Ruben Torres Blvd, Brownsville, TX 78526 | 2018-05-17 |
| 1982192001 | Uvalde County Hospital Authority | Skilled Nursing Facility | 310 America Dr, Brownsville, TX 78526 | 2018-04-24 |
| 1821597212 | Metx, LLC | Audiologist-Hearing Aid Fitter | 3000 Pablo Kisel Blvd Ste 300c, Brownsville, TX 78526 | 2018-02-12 |
| Find all providers in zip 78526 | ||||
| Taxonomy Code | 364SP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942830211 | Katherine Ann Kunkle | Clinical Nurse Specialist | 200 West Ave, Pasadena, TX 77502-3630 | 2020-01-24 |
| 1790254241 | Daaiyah Ward | Clinical Nurse Specialist | 1810 16th St, Hempstead, TX 77445-5852 | 2018-11-14 |
| 1285134940 | Frankie Lynn Brown | Clinical Nurse Specialist | 209 Rodney St, Hawkins, TX 75765-2769 | 2018-02-19 |
| 1295123818 | Jessica Denise De Lara | Clinical Nurse Specialist | 1390 George Dieter Dr Ste 100, Suite C, El Paso, TX 79936-7423 | 2015-01-05 |
| 1316344385 | Jessica Dominguez | Clinical Nurse Specialist | 4321 N Mesa St Ste B, El Paso, TX 79902-1105 | 2014-11-19 |
| 1245471010 | Celeste Maria Boyd | Clinical Nurse Specialist | 7602 Lonecrest Ln, Converse, TX 78109-3245 | 2009-03-09 |
| 1881834539 | Iris Well Child Physicals | Clinical Nurse Specialist | 200 W. Edinburg Hwy 107, Suite B, Elsa, TX 78543-1274 | 2009-02-20 |
| 1609892041 | Melissa E Fondren | Clinical Nurse Specialist | 710 Bedell, Del Rio, TX 78840-6072 | 2006-07-15 |
| 1831735091 | Diana Lynn Cardwell | Clinical Nurse Specialist | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2019-11-22 |
| 1922652254 | Judy Tubman | Clinical Nurse Specialist | 8610 N New Braunfels Ave, San Antonio, TX 78217-6370 | 2019-07-25 |
| Find all providers with the same taxonomy | ||||
| City | BROWNSVILLE |
| Zip Code | 78526 |
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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.