Provider Demographics
NPI:1093996142
Name:LE, YOUNG MI (DC)
Entity Type:Individual
Prefix:DR
First Name:YOUNG
Middle Name:MI
Last Name:LE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 814
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-0014
Mailing Address - Country:US
Mailing Address - Phone:214-886-7166
Mailing Address - Fax:
Practice Address - Street 1:820 S ALMA DR
Practice Address - Street 2:SUITE 100
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-3808
Practice Address - Country:US
Practice Address - Phone:214-383-2641
Practice Address - Fax:214-383-9534
Is Sole Proprietor?:No
Enumeration Date:2007-11-16
Last Update Date:2013-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10731111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor