Provider Demographics
NPI:1023084977
Name:LE, VAN QUOC (DC)
Entity type:Individual
Prefix:DR
First Name:VAN
Middle Name:QUOC
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 1:3459 UNITED LN
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-6661
Mailing Address - Country:US
Mailing Address - Phone:832-752-6844
Mailing Address - Fax:
Practice Address - Street 1:1701 LEGACY DR
Practice Address - Street 2:STE 122
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-5987
Practice Address - Country:US
Practice Address - Phone:972-625-2201
Practice Address - Fax:844-273-5968
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2014-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9890111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor