Diaz De Leon, Victor Octavio

Diaz De Leon, Victor Octavio is an individual health care provider with primary practice located at 9002 Culebra Rd Suite 100, San Antonio TX 78251-2873. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Diaz De Leon, Victor Octavio can be contacted via phone (210) 437-3990.

Contact Information

Primary practice address
9002 Culebra Rd Suite 100 San Antonio TX 78251-2873
Phone: (210) 437-3990
Fax: (210) 437-3991
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X H4825 Texas

Profile Details

NPI number 1528025541
LBN Legal business name Diaz De Leon, Victor Octavio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Mar 26th, 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 1528025541 NPPES
Texas MEDICAID 136374903

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