LONG THANH DUY LE

FORT WORTH, TX
NPI1841699303
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA09218)
Enumeration Date2014-08-20
Last Update Date2019-04-05
Business Address
LONG THANH DUY LE PA
1500 S MAIN ST
FORT WORTH, TX 76104-4917
Phone number: 817-702-4151
Mailing Address
LONG THANH DUY LE PA
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104-2122
Phone number: 817-250-4906
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