Provider Demographics
NPI:1659666857
Name:LE, DIANNE THUY (PHARMD)
Entity Type:Individual
Prefix:MS
First Name:DIANNE
Middle Name:THUY
Last Name:LE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8503 S SAM HOUSTON PKWY E
Mailing Address - Street 2:T-2494
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77075-4857
Mailing Address - Country:US
Mailing Address - Phone:713-343-8301
Mailing Address - Fax:713-343-8311
Practice Address - Street 1:8503 S SAM HOUSTON PKWY E
Practice Address - Street 2:T-2494
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77075-4857
Practice Address - Country:US
Practice Address - Phone:713-343-8301
Practice Address - Fax:713-343-8311
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-15
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX49128183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist