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Physician Compare National (NPI:1164576088)

HEALTHCARE PROVIDER: TRI LE D.P.M.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1164576088
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 2264561760
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20100521000064
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name LE
Individual professional last name
Provider First Name TRI
Individual professional first name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Individual professional's medical school
Graduation Year 1997
Individual professional's medical school graduation year
Primary Specialty PODIATRY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 20320 NORTHWEST FWY
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 400A
Group Practice or individual's line 2 address
City JERSEY VILLAGE
Group Practice or individual's city
State TX
Group Practice or individual's state
Zip Code 770655620
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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