John Gerard Deleonibus JR., PA-C

NPI #1669034310 in Bryan, Texas

Provider Information

NPI Number
1669034310
Entity Type
Individual
Name
John Gerard Deleonibus JR., PA-C
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant - Surgical
Credential
PA-C
Enumeration Date
Jul 2, 2019
Last Updated
Dec 30, 2020

Practice Location

Address
2800 S TEXAS AVE STE 102
City
Bryan
State
Texas
ZIP Code
77802-5361
Phone
(443) 758-6090

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Physician Assistant - SurgicalSurgical

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