De Leon, Nicerio Razon

De Leon, Nicerio Razon is an individual health care provider with primary practice located at 1605 Rock Prairie Rd 315, College Station TX 77845-8358. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. De Leon, Nicerio Razon can be contacted via phone (979) 694-2026.

Contact Information

Primary practice address
1605 Rock Prairie Rd 315 College Station TX 77845-8358
Phone: (979) 694-2026
Fax: (979) 694-6403
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 6661 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 774921 Texas

Profile Details

NPI number 1881656031
LBN Legal business name De Leon, Nicerio Razon
Credentials DC, NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2006
Last updated Jan 29th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881656031 NPPES
Texas MEDICAID 088475102

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