Provider Demographics
NPI:1831700285
Name:LE, TAM M (NP)
Entity type:Individual
Prefix:
First Name:TAM
Middle Name:M
Last Name:LE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:275 HOLDER TRL
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-4133
Mailing Address - Country:US
Mailing Address - Phone:214-491-4191
Mailing Address - Fax:469-519-0407
Practice Address - Street 1:275 HOLDER TRL
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-4133
Practice Address - Country:US
Practice Address - Phone:214-491-4191
Practice Address - Fax:469-519-0407
Is Sole Proprietor?:No
Enumeration Date:2020-08-10
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX1007533363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily