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Dr. Gary Wayne De Leon II, DO
Student in an Organized Health Care Education/Training Program in Lubbock, Texas
NPI 1093452468

Gary Wayne De Leon II is a Student in an Organized Health Care Education/Training Program based in Lubbock, TX. Gary Wayne De Leon II practices in Lubbock, TX and has the professional credentials of DO. The NPI Number for Gary Wayne De Leon II is 1093452468 and holds a License No. BP10080329 (Texas).

The current practice location address for Gary Wayne De Leon II is 3601 4Th Street Mail Stop 8143, Lubbock, TX and can be reached out via phone at 806-743-6130.

Location: 3601 4Th Street Mail Stop 8143, Lubbock, TX, 79430
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093452468
Provider Name
Gary Wayne De Leon II
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
3601 4Th Street Mail Stop 8143, Lubbock, TX, 79430
Phone Number
806-743-6130
Fax Number
Provider Enumeration Date
05/17/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3601 4Th Street Mail Stop 8143
City
Lubbock
State
Texas
Zip
79430
Phone Number
806-743-6130
Fax Number
person
Provider Business Mailing Address Details
Address
3601 4Th Street Mail Stop 8143
City
Lubbock
State
Texas
Zip
79430
Phone Number
806-743-6130
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
BP10080329 (Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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