Provider Demographics
NPI:1467575415
Name:LE, LAURA T (DC)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:T
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 1:2117 CHENEVERT ST
Mailing Address - Street 2:STE J
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77003
Mailing Address - Country:US
Mailing Address - Phone:713-650-6656
Mailing Address - Fax:713-655-1118
Practice Address - Street 1:2117 CHENEVERT ST
Practice Address - Street 2:STE J
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77003
Practice Address - Country:US
Practice Address - Phone:713-650-6656
Practice Address - Fax:713-655-1118
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2009-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC 8151111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor