Provider Demographics
NPI:1467512707
Name:LE, KEVIN P (DC)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:P
Last Name:LE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13730 HARGRAVE RD.
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070
Mailing Address - Country:US
Mailing Address - Phone:281-807-4448
Mailing Address - Fax:281-807-5600
Practice Address - Street 1:13730 HARGRAVE RD.
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070
Practice Address - Country:US
Practice Address - Phone:281-807-4448
Practice Address - Fax:281-807-5600
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-09
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6706111N00000X
TXDC6706111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1158948Medicare UPIN
TXU58948Medicare UPIN
TX605308Medicare ID - Type Unspecified