Provider Demographics
NPI:1396324190
Name:LE, DUY QUOC
Entity type:Individual
Prefix:
First Name:DUY
Middle Name:QUOC
Last Name:LE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 CHASEMORE LN
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76018-1084
Mailing Address - Country:US
Mailing Address - Phone:682-367-9149
Mailing Address - Fax:
Practice Address - Street 1:209 CHASEMORE LN
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76018-1084
Practice Address - Country:US
Practice Address - Phone:682-367-9149
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-07
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide