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NPI 1205848033

NPI 1205848033 : TRI MINH LE MD : COLDSPRING, TX

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General NPI Number Information
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    NPI Number           |    1205848033
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    Entity Type          |    Individual 
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    Provider Name        |    TRI MINH LE MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/12/2006
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    Last Update Date     |    03/09/2020
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Provider Practice Location Address
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    Address Line         |    21 ALPINE ST 
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    City                 |    COLDSPRING
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    State                |    TX
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    Zip                  |    77331-8058
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    Country              |    US
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    Telephone            |    936-647-2227
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    Fax                  |    936-647-2202
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1293 
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    City                 |    NEW CANEY
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    State                |    TX
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    Zip                  |    77357-1293
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    Country              |    US
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    Telephone            |    281-774-8785
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    Fax                  |    832-543-5006
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    M5810
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    License Number State |    TX
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