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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOHN GERARD DELEONIBUS JR., PA-C

Active Sole Proprietor

JOHN GERARD DELEONIBUS JR., PA-C is a Surgical Physician Assistant healthcare provider located in BRYAN, Texas. NPI 1669034310 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · BRYAN, TX

Registration Details

NPI Number
1669034310
Provider Type
Individual
Gender
Male
NPI Issued
Jul 2, 2019 (7.1166328073065 yrs)
Last Updated
Dec 30, 2020
License
PA14181 (TX)
Sole Proprietor
Yes

Practice Information

Address
2800 S TEXAS AVE STE 102
BRYAN, TX, 778025361
Browse TX providers · Browse ZIP 77802
Phone
4437586090
Primary Specialty
Surgical Physician Assistant
363AS0400X
Additional Specialty
Surgical Physician Assistant

Other Surgical Physician Assistant Providers in BRYAN, TX

Name Credential NPI
STEWART T BROOKS PA 1639174170
MISS VANESSA SCIALOM PA-C 1649611435
MR. DARREN PAUL STUCKER PA-C 1083293534
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.