| Ms Petra De Leon, FNP-C | |
|
1205 E San Patricio Ave, Mathis, TX 78368-2402 | |
| (361) 453-4470 | |
| (800) 621-5209 |
| Full Name | Ms Petra De Leon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 1205 E San Patricio Ave, Mathis, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811340490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP131476 (Texas) | Primary |
| Entity Name | Ucp Physicians Of Central Texas, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922289412 PECOS PAC ID: 3173697935 Enrollment ID: O20080729000203 |
| Entity Name | Alice Health & Wellness Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942971353 PECOS PAC ID: 4981092327 Enrollment ID: O20211103003275 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Petra De Leon, FNP-C Po Box 61160, Corpus Christi, TX 78466-1160 Ph: (361) 884-2904 | Ms Petra De Leon, FNP-C 1205 E San Patricio Ave, Mathis, TX 78368-2402 Ph: (361) 453-4470 |
Helen Gonzales Guevara, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 220 E Saint Marys St, Mathis, TX 78368 Phone: 361-547-5700 | |
Ramiro Benitez, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 304 E San Patricio Ave, Mathis, TX 78368 Phone: 361-547-8079 Fax: 361-547-8086 | |
Kristen Kolb, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 213 S Duval St, Mathis, TX 78368 Phone: 361-678-4314 |