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NPI Code Detail

MEDICARE: KENNY THANG LE

MEDICARE: KENNY THANG 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
1183500000XPharmacist43268TX

General Provider Information

NPI Number : 1710207576
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENNY THANG LE
Provider Business Mailing Address
First Line : 10375 RICHMOND AVE
Second Line : STE. 1575
City : HOUSTON
State : TX
Zip : 77042
Country : US
Telephone Number : 866-312-1177
Fax Number : 713-513-5924
Provider Business Practice Location Address
First Line : 10375 RICHMOND AVE
Second Line : STE. 1575
City : HOUSTON
State : TX
Zip : 77042-4143
Country : US
Telephone Number : 866-312-1177
Fax Number : 713-513-5924
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2010
Last Update Date : 06/03/2010

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Directions to “ KENNY THANG LE ” Practice Location

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