Organization
RADIANT DERMATOLOGY FALL CREEK PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIET LE MD (OWNER/PROVIDER)
(832) 777-7559
Entity
Organization
Contact information
Practice address
9240 N SAM HOUSTON PKWY E, STE 201, HUMBLE, TX 77396
(832) 777-7559
(832) 777-7541
Mailing address
9240 N SAM HOUSTON PKWY E, STE 201, HUMBLE, TX 77396
(832) 777-7559
(832) 777-7541
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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