Provider Demographics
NPI:1174655054
Name:LE, SON MINH (PA)
Entity Type:Individual
Prefix:
First Name:SON
Middle Name:MINH
Last Name:LE
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:705 QUAIL CREEK DR
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79124-1608
Mailing Address - Country:US
Mailing Address - Phone:806-353-6400
Mailing Address - Fax:806-353-9943
Practice Address - Street 1:6822 PLUM CREEK DR
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79124-1601
Practice Address - Country:US
Practice Address - Phone:806-373-3177
Practice Address - Fax:806-373-0423
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2020-01-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXPA05164363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant