Individual
MYLIEN LE LOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-5775
(254) 724-2314
(254) 724-1046
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP140025
TX
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
AP140025
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128529047
—
TX
05
—
AP140025
—
TX
Enumeration date
05/14/2019
Last updated
04/13/2022
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