Provider Demographics
NPI:1265245617
Name:LE, TRIET
Entity type:Individual
Prefix:
First Name:TRIET
Middle Name:
Last Name:LE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:JUSTIN
Other - Middle Name:
Other - Last Name:LE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:17307 BROOKHOLLOW TRACE CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-6057
Mailing Address - Country:US
Mailing Address - Phone:586-588-5426
Mailing Address - Fax:
Practice Address - Street 1:17307 BROOKHOLLOW TRACE CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-6057
Practice Address - Country:US
Practice Address - Phone:586-588-5426
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter