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Individual

TU KHAC LE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1400 HOSPITAL PARKWAY, SUITE 100, BEDFORD, TX 76022-6928
(817) 545-4550
Mailing address
1400 HOSPITAL PARKWAY, SUITE 100, BEDFORD, TX 76022-6928
(817) 545-4550

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
L7003
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
160809306
TX
01
8AX681
BCBS
TX
Enumeration date
01/09/2006
Last updated
10/13/2021
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