MEDICARE: EDDIE JOE DELEON L.P.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	101YP2500X	Professional Counselor	61731	TX

General Provider Information

NPI Number	:	1811194269
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDDIE JOE DELEON L.P.C.

Provider Business Mailing Address
First Line	:	1751 IRIS DR
Second Line	:
City	:	BROWNSVILLE
State	:	TX
Zip	:	78526-3904
Country	:	US
Telephone Number	:	956-542-6036
Fax Number	:

Provider Business Practice Location Address
First Line	:	3505 BOCA CHICA BLVD # 325
Second Line	:
City	:	BROWNSVILLE
State	:	TX
Zip	:	78521-4214
Country	:	US
Telephone Number	:	956-293-9441
Fax Number	:	956-504-1515

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

Provider Enumeration Date	:	06/29/2007
Last Update Date	:	06/25/2024

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Directions to “ EDDIE JOE DELEON L.P.C.” Practice Location

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