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NPI Code Detail

MEDICARE: IVONNE GARCIA-DELEON FNP

MEDICARE: IVONNE GARCIA-DELEON FNP
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
1363LF0000XFamily Nurse Practitioner1111353TX

General Provider Information

NPI Number : 1124726617
Entity Type Code : Individual
Provider Name (Legal Business Name) : IVONNE GARCIA-DELEON FNP
Provider Business Mailing Address
First Line : 15306 PALTON SPRINGS DR
Second Line :
City : HOUSTON
State : TX
Zip : 77082-3018
Country : US
Telephone Number : 713-820-0671
Fax Number :
Provider Business Practice Location Address
First Line : 1900 BLALOCK RD STE M
Second Line :
City : HOUSTON
State : TX
Zip : 77080-5446
Country : US
Telephone Number : 832-831-4883
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2023
Last Update Date : 02/23/2023

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Directions to “ IVONNE GARCIA-DELEON FNP” Practice Location

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