| Doctor Name: | DR. JACQUELINE NGA LE |
| NPI Number: | 1659311561 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.O. |
| License Number: | L5017 |
| Business Practice Address: | 614 S. Watters Rd. Suite 101 Allen, TX - 75013 |
| Business Phone Number: | 2145093623 |
| Business Fax Number: | 2145093620 |
| Mailing Address: | 614 S. Watters Rd., Suite 101 ALLEN |
| State: | TX |
| Postal Code: | 75013 |
| Phone Number: | 2145093623 |
| Fax Number: | 2145093620 |
| NPI Enumeration Date: | 06/08/2006 |
| NPI Last Update Date: | 02/08/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | L5017 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |