Most Relevant Information
Provider Data
| NPI Number: | 1003808163 |
| Provider Name: | NHI P LE M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | K9105 |
Most Important Dates
| Enumeration Date: | 08/16/2005 |
| Last Updated: | 06/21/2011 |
Provider Practice Location
307 CALHOUN PLZ
PORT LAVACA
TX
779792421
Practice Location Phone/Fax
| Phone: | 3615512288 |
| Fax: | 3615512338 |
Provider Mailing Location
307 CALHOUN PLZ
PORT LAVACA
TX
779792421
Provider Mailing Phone/Fax
| Phone: | 3615512288 |
| Fax: | 3615512338 |
Suggested EMR
Family Practice EMR