GARY WAYNE DE LEON

LUBBOCK, TX
NPI1093452468
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: TX  U7411)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
(Licence: TX  BP10080329)
Enumeration Date2022-05-17
Last Update Date2024-05-20
Business Address
Dr. GARY WAYNE DE LEON DO
602 INDIANA AVE
LUBBOCK, TX 79415-3364
Phone number: 806-775-9800
Mailing Address
Dr. GARY WAYNE DE LEON DO
3601 4TH STREET MAIL STOP 8143
LUBBOCK, TX 79430
Phone number: 806-743-6130