MEDICARE: DR. STEVEN LE DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	9521	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8K2441	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1043221567
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN LE DC

Provider Business Mailing Address
First Line	:	5072 W PLANO PKWY
Second Line	:	SUITE 130
City	:	PLANO
State	:	TX
Zip	:	75093-4476
Country	:	US
Telephone Number	:	972-200-5009
Fax Number	:	972-248-9292

Provider Business Practice Location Address
First Line	:	5072 W PLANO PKWY
Second Line	:	SUITE 130
City	:	PLANO
State	:	TX
Zip	:	75093-4476
Country	:	US
Telephone Number	:	972-200-5009
Fax Number	:	972-248-9292

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2006
Last Update Date	:	02/07/2011

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Directions to “ DR. STEVEN LE DC” Practice Location

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