MEDICARE: DR. KATE JANELLE DELEON AU.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	80210	TX

General Provider Information

NPI Number	:	1508177973
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATE JANELLE DELEON AU.D.

Provider Business Mailing Address
First Line	:	9494 SOUTHWEST FWY
Second Line	:	SUITE 850
City	:	HOUSTON
State	:	TX
Zip	:	77074-1419
Country	:	US
Telephone Number	:	281-649-7000
Fax Number	:

Provider Business Practice Location Address
First Line	:	16545 SOUTHWEST FWY
Second Line	:	SUITE 100
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-2891
Country	:	US
Telephone Number	:	281-649-7213
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2010
Last Update Date	:	11/09/2012

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