Provider Demographics
NPI:1710201462
Name:ANN LE DDS PA
Entity Type:Organization
Organization Name:ANN LE DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DDS/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:NGOCAN
Authorized Official - Last Name:LE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:832-237-4444
Mailing Address - Street 1:12432 FM 1960 RD W
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-4809
Mailing Address - Country:US
Mailing Address - Phone:832-237-4444
Mailing Address - Fax:832-237-4444
Practice Address - Street 1:12432 FM 1960 RD W
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-4809
Practice Address - Country:US
Practice Address - Phone:832-237-4444
Practice Address - Fax:832-237-4444
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANN LE DDS PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-03-24
Last Update Date:2010-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX196521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty