MEDICARE: HUNG LE

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	122300000X	Dentist	33347	TX

General Provider Information

NPI Number	:	1265951495
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HUNG LE

Provider Business Mailing Address
First Line	:	6200 SAVOY DR STE 540
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-3338
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	255 NORTHPOINT DR STE 200
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77060-3269
Country	:	US
Telephone Number	:	832-300-8040
Fax Number	:

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

Provider Enumeration Date	:	09/19/2017
Last Update Date	:	05/09/2023

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Directions to “ HUNG LE ” Practice Location

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