MEDICARE: DR. MARIO FERNANDO LEON PAREDES DDS, MSD

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	1223E0200X	Endodontics	32475	TX

General Provider Information

NPI Number	:	1568804334
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIO FERNANDO LEON PAREDES DDS, MSD

Provider Business Mailing Address
First Line	:	2380 S MACGREGOR WAY
Second Line	:	APT 229
City	:	HOUSTON
State	:	TX
Zip	:	77021-1159
Country	:	US
Telephone Number	:	860-549-3998
Fax Number	:

Provider Business Practice Location Address
First Line	:	2380 S MACGREGOR WAY
Second Line	:	APT 229
City	:	HOUSTON
State	:	TX
Zip	:	77021-1159
Country	:	US
Telephone Number	:	860-549-3998
Fax Number	:

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

Provider Enumeration Date	:	07/22/2013
Last Update Date	:	10/25/2016

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