Organization
RADIANT DERMATOLOGY AND AESTHETICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIET N LE MD (OWNER)
(281) 973-4159
Entity
Organization
Contact information
Practice address
22659 HIGHWAY 59 N, SUITE 140, KINGWOOD, TX 77339-4406
(281) 973-4159
(281) 973-2359
Mailing address
22659 HIGHWAY 59 N, SUITE 140, KINGWOOD, TX 77339-4406
(281) 973-4159
(281) 973-2359
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
P7300
TX
Other
Enumeration date
03/08/2016
Last updated
03/09/2016
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