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Derek Deleon is one of 57 nurse practitioners practicing in Live Oak, Texas .
Derek Deleon practices with Lone Star State Dermatology Clinic PLLC.
Registry record (NPPES)
NPI
1609514785
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Acute Care · 363LA2100X
Address on file
4502 Medical Dr San Antonio, TX 78229-4492 (210) 358-4000
Enumerated
May 26, 2022
Record last updated
May 26, 2022
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXNurse Practitioner
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
11101 Toepperwein Rd
Live Oak , TX 78233
(210) 651-3233
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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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