DR. MIMI NGOC BAO LE, OD

Optometrist

Active Individual
NPI: 1073593000

Practice Address

4901 S BROADWAY AVE
Tyler, TX 75703

Phone: (903) 508-2498

Specialties

Specialty Code Primary License
Optometrist 152W00000X Yes 6783T (TX)

Frequently Asked Questions

NPI 1073593000 is the National Provider Identifier for DR. MIMI NGOC BAO LE, OD, a Optometrist provider located in Tyler, TX. This NPI was enumerated on January 17, 2006.
DR. MIMI NGOC BAO LE, OD practices at 4901 S BROADWAY AVE, Tyler, TX 75703.

Quick Facts

NPI
1073593000
Type
Individual
Enumerated
Jan 17, 2006
Last Updated
Jul 21, 2022

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