Provider Demographics
NPI:1801226014
Name:LE, THOMAS (DC)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:
Last Name:LE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3773 RICHMOND AVE STE 540
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77046-3722
Mailing Address - Country:US
Mailing Address - Phone:832-263-3210
Mailing Address - Fax:844-965-9064
Practice Address - Street 1:3773 RICHMOND AVE STE 540
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77046-3722
Practice Address - Country:US
Practice Address - Phone:832-263-3210
Practice Address - Fax:844-965-9064
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-25
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12269111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor