# DTL MEDICAL MANAGEMENT LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952719809
- **Authorized official:** DR. DUC M LE M.D. (PRESIDENT)
- **Authorized official phone:** (832) 729-7596

## Contact information

- **Practice address:** 2820 S COTSWOLD MANOR DR, KINGWOOD, TX 77339
- **Practice address phone:** (281) 593-1500
- **Mailing address:** 2820 S COTSWOLD MANOR DR, KINGWOOD, TX 77339

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | M8117 | TX | Yes |

## Other

- **Enumeration date:** 07/23/2014
- **Last updated:** 07/23/2014