Individual
BOBBY LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3108 RANCH ROAD 620 S, LAKEWAY, TX 78738-5635
(512) 654-4200
(512) 654-4201
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
03/17/2023
Last updated
07/24/2023
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