Provider Demographics
NPI:1891450615
Name:CUI, LEI
Entity Type:Individual
Prefix:
First Name:LEI
Middle Name:
Last Name:CUI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5725 HATHAWAY PKWY APT 9205
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-5682
Mailing Address - Country:US
Mailing Address - Phone:407-448-7853
Mailing Address - Fax:
Practice Address - Street 1:5899 PRESTON RD STE 801
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-9592
Practice Address - Country:US
Practice Address - Phone:972-668-2626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-05
Last Update Date:2021-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist