Provider Demographics
NPI:1639452964
Name:LE, DUONG THUY (ATP)
Entity Type:Individual
Prefix:
First Name:DUONG
Middle Name:THUY
Last Name:LE
Suffix:
Gender:M
Credentials:ATP
Other - Prefix:
Other - First Name:KENNETH
Other - Middle Name:THUY
Other - Last Name:LE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ATP
Mailing Address - Street 1:1221 PROFIT DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75247-3919
Mailing Address - Country:US
Mailing Address - Phone:832-766-5494
Mailing Address - Fax:682-268-4655
Practice Address - Street 1:1221 PROFIT DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75247-3919
Practice Address - Country:US
Practice Address - Phone:214-542-5049
Practice Address - Fax:682-268-4655
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-22
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other