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John Gerard Deleonibus JR., PA-C
Surgical Physician Assistant in Bryan, Texas
NPI 1669034310

John Gerard Deleonibus JR. is a Surgical Physician Assistant based in Bryan, TX and is specialized in Surgical. John Gerard Deleonibus JR. practices in Bryan, TX and has the professional credentials of PA-C. The NPI Number for John Gerard Deleonibus JR. is 1669034310 and holds a License No. (Texas).

The current practice location address for John Gerard Deleonibus JR. is 2800 S Texas Ave Ste 102, Bryan, TX and can be reached out via phone at 443-758-6090.

Location: 2800 S Texas Ave Ste 102, Bryan, TX, 77802-5361
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669034310
Provider Name
John Gerard Deleonibus JR.
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
2800 S Texas Ave Ste 102, Bryan, TX, 77802-5361
Phone Number
443-758-6090
Fax Number
Provider Enumeration Date
07/02/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2800 S Texas Ave Ste 102
City
Bryan
State
Texas
Zip
77802-5361
Phone Number
443-758-6090
Fax Number
person
Provider Business Mailing Address Details
Address
2800 S Texas Ave Ste 102
City
Bryan
State
Texas
Zip
77802-5361
Phone Number
443-758-6090
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
PA14181 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
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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