Provider Demographics
NPI:1962515734
Name:LE, NANCY Q (DMD)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:Q
Last Name:LE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3135 HANSOM RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77038-1903
Mailing Address - Country:US
Mailing Address - Phone:281-807-6111
Mailing Address - Fax:281-807-6277
Practice Address - Street 1:10028 WEST RD STE 108
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77064-6324
Practice Address - Country:US
Practice Address - Phone:281-807-6111
Practice Address - Fax:281-807-6277
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX225331223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice