Provider Demographics
NPI:1174822407
Name:LE, MARIA HUONG (TX LIC AC)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:HUONG
Last Name:LE
Suffix:
Gender:F
Credentials:TX LIC AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1523 LARKSPUR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78213-1528
Mailing Address - Country:US
Mailing Address - Phone:210-391-6127
Mailing Address - Fax:
Practice Address - Street 1:1523 LARKSPUR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78213-1528
Practice Address - Country:US
Practice Address - Phone:210-391-6127
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-25
Last Update Date:2011-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC01248171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist