Healthcare Provider Details

I. General information

NPI: 1780519082
Provider Name (Legal Business Name): ANH THUY LE PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 AVONDALE DR
MURPHY TX
75094-4192
US

IV. Provider business mailing address

1120 AVONDALE DR
MURPHY TX
75094-4192
US

V. Phone/Fax

Practice location:
  • Phone: 469-450-3043
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: