Individual
BRANDON BAO LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4401 MARTIN LUTHER KING BLVD, HOUSTON, TX 77204-3069
(713) 743-1921
(713) 743-0963
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10898
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10898
TEXAS OPTOMETRY BOARD
TX
Enumeration date
08/03/2023
Last updated
12/07/2023
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