Le, Brian T

Le, Brian T is an individual health care provider with primary practice located at 1114 E Seminary Dr , Fort Worth TX 76115-2830. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Le, Brian T can be contacted via phone (817) 921-0883.

Contact Information

Primary practice address
1114 E Seminary Dr Fort Worth TX 76115-2830
Phone: (817) 921-0883
Fax: (888) 600-6547
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 21298 Texas

Profile Details

NPI number 1730177619
LBN Legal business name Le, Brian T
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Mar 1st, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730177619 NPPES
Texas MEDICAID 158687712
Texas MEDICAID 158687715
Texas MEDICAID 158687716

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