Provider Demographics
NPI:1790912343
Name:LE, Y THANH (DO)
Entity Type:Individual
Prefix:
First Name:Y
Middle Name:THANH
Last Name:LE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:DANNY
Other - Middle Name:
Other - Last Name:LE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:21216 NORTHWEST FWY STE 470
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-4697
Mailing Address - Country:US
Mailing Address - Phone:281-469-2838
Mailing Address - Fax:281-469-9314
Practice Address - Street 1:21216 NORTHWEST FWY STE 470
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-4697
Practice Address - Country:US
Practice Address - Phone:281-469-2838
Practice Address - Fax:281-469-9314
Is Sole Proprietor?:No
Enumeration Date:2009-06-22
Last Update Date:2018-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP3376208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics