MEDICARE: DAYELYN RIVERO LEON FNP-C

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	363LF0000X	Family Nurse Practitioner	1028466	TX

General Provider Information

NPI Number	:	1629818422
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAYELYN RIVERO LEON FNP-C

Provider Business Mailing Address
First Line	:	1910 JOHN RALSTON RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77013-5697
Country	:	US
Telephone Number	:	713-804-1950
Fax Number	:

Provider Business Practice Location Address
First Line	:	1910 JOHN RALSTON RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77013-5697
Country	:	US
Telephone Number	:	713-804-1950
Fax Number	:

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

Provider Enumeration Date	:	05/29/2024
Last Update Date	:	09/08/2025

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