Le, Brian T
Le, Brian T is an individual health care provider with primary practice located at 1114 E Seminary Dr , Fort Worth TX 76115-2830. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Le, Brian T can be contacted via phone (817) 921-0883.Contact Information
Primary practice address
1114 E Seminary Dr
Fort Worth TX 76115-2830
Phone: (817) 921-0883
Fax: (888) 600-6547
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 21298 | Texas |
Profile Details
NPI number | 1730177619 |
---|---|
LBN Legal business name | Le, Brian T |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 13th, 2005 |
Last updated | Mar 1st, 2018 - about 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1730177619 | NPPES |
Texas | MEDICAID | 158687712 | |
Texas | MEDICAID | 158687715 | |
Texas | MEDICAID | 158687716 |
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