Individual provider · Type 1 NPI
John Gerard Deleonibus Jr., PA-C
Surgical Physician Assistant · Bryan, TX
NPI number
1669034310
Active
Practice location
2800 S Texas Ave Ste 102
Bryan, TX 77802-5361
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Surgical Physician Assistant Primary | 363AS0400X | PA14181 (TX) |
Surgical Physician Assistant: Definition to come...
Another provider at this address
Other surgical physician assistant providers in Bryan
About NPI 1669034310
John Gerard Deleonibus Jr., PA-C's National Provider Identifier is 1669034310, issued on Jul 2, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bryan, TX. The record was last updated on Dec 30, 2020.