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NPI Code Detail

MEDICARE: CIRA JANE DELEON M.D.

MEDICARE: CIRA JANE DELEON M.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
12084P0800XPsychiatry PhysicianE6062TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2894035OTHERTXBCBS

General Provider Information

NPI Number : 1578653275
Entity Type Code : Individual
Provider Name (Legal Business Name) : CIRA JANE DELEON M.D.
Provider Business Mailing Address
First Line : 3339 KNOLL WEST DR
Second Line :
City : HOUSTON
State : TX
Zip : 77082-3651
Country : US
Telephone Number : 800-257-8715
Fax Number :
Provider Business Practice Location Address
First Line : 1405 HOLLAND ST
Second Line :
City : HOUSTON
State : TX
Zip : 77029-2845
Country : US
Telephone Number : 800-257-8715
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2006
Last Update Date : 07/08/2007

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