Individual
KEVIN LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
9600 S INTERSTATE 35 STE S225, AUSTIN, TX 78748-3889
(512) 291-0876
Mailing address
9418 CORNETT DR, HOUSTON, TX 77064-7606
(832) 708-6068
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10092
TX
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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