Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | R7047 | TX |
NPI | 1265879159 |
---|---|
Provider Name | Dr. Long Nguyen Le |
First Address | Houston, TX 77024-1945 |
Second Address | Houston, TX 77024-1945 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2013 |
Last Update Date | 27/05/2021 |