Provider Demographics
NPI:1275636896
Name:DANH Q LE
Entity Type:Organization
Organization Name:DANH Q LE
Other - Org Name:ADVANCE SPINAL TREATMENT CENTER
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DANH
Authorized Official - Middle Name:Q
Authorized Official - Last Name:LE
Authorized Official - Suffix:
Authorized Official - Credentials:CHRIOPRACTIC
Authorized Official - Phone:281-260-9726
Mailing Address - Street 1:10625 VETERANS MEMORIAL DR
Mailing Address - Street 2:SUITE E
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77038
Mailing Address - Country:US
Mailing Address - Phone:281-260-9726
Mailing Address - Fax:281-260-9722
Practice Address - Street 1:10625 VETERANS MEMORIAL DR
Practice Address - Street 2:SUITE E
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77038
Practice Address - Country:US
Practice Address - Phone:281-260-9726
Practice Address - Fax:281-260-9722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9025111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
005300Medicare ID - Type Unspecified