Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | M8118 | TX |
NPI | 1003085390 |
---|---|
Provider Name | Dr. Toan Huu Le |
First Address | Dallas, TX 75252-6444 |
Second Address | Miramar, FL 33027-6308 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2008 |
Last Update Date | 17/02/2014 |