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1114204971
ANDY LE
FORT WORTH, TX
NPI
1114204971
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: TX BP10041371)
Enumeration Date
2011-11-08
Last Update Date
2011-11-08
Business Address
-- ANDY LE
900 8TH AVE
FORT WORTH, TX 76104-3902
Phone number: 817-347-5887
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Mailing Address
-- ANDY LE
5512 GREENWOOD CREEK DR #424
BENBROOK, TX 76109-6977
Phone number: 714-383-2684
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