Provider Demographics
NPI:1861879413
Name:LE, DON KIM (DO)
Entity type:Individual
Prefix:
First Name:DON
Middle Name:KIM
Last Name:LE
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:630 SOLON RD APT 4309
Mailing Address - Street 2:
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75165-1639
Mailing Address - Country:US
Mailing Address - Phone:817-371-7884
Mailing Address - Fax:
Practice Address - Street 1:3600 GASTON AVE STE 261
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-1902
Practice Address - Country:US
Practice Address - Phone:972-966-7830
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-04
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXS0495207ZP0102X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology