Individual
DR. DEWEY LE
Active
Individual
DR. DEWEY LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
M4850
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01221746
AMERIGROUP
—
05
—
191031702
—
TX
01
—
7103954
AETNA
—
01
—
8AQ460
BCBS
TX
Enumeration date
06/14/2007
Last updated
11/20/2024
Update your record
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