Le, Andre T

Le, Andre T is an individual health care provider with primary practice located at 116 E Ellison St Ste C , Burleson TX 76028-4286. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Le, Andre T can be contacted via phone (817) 295-9696.

Contact Information

Primary practice address
116 E Ellison St Ste C Burleson TX 76028-4286
Phone: (817) 295-9696
Fax: (817) 295-9313
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 6555TG Texas

Profile Details

NPI number 1073566022
LBN Legal business name Le, Andre T
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Sep 2nd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073566022 NPPES
Texas MEDICAID 177117201
Texas Other 8F0158
Texas Other TX6555TG

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