Most Relevant Information
Provider Data
| NPI Number: | 1003443789 |
| Provider Name: | THU LE |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/24/2020 |
| Last Updated: | 04/11/2022 |
Provider Practice Location
3214 E RACE AVE
SEARCY
AR
721434810
Practice Location Phone/Fax
| Phone: | 5013802217 |
| Fax: |
Provider Mailing Location
3214 E RACE AVE
SEARCY
AR
721434810
Provider Mailing Phone/Fax
| Phone: | 5013802217 |
| Fax: | 5013802282 |