Healthcare Provider Details

I. General information

NPI: 1801709969
Provider Name (Legal Business Name): LINH LE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8603 BROADWAY ST STE 170
PEARLAND TX
77584-8711
US

IV. Provider business mailing address

17826 HILLEGEIST LN
TOMBALL TX
77377-9139
US

V. Phone/Fax

Practice location:
  • Phone: 281-540-2001
  • Fax:
Mailing address:
  • Phone: 832-616-8943
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number126895
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: