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NPI Code Detail

MEDICARE: BAO TRAN NGUYEN LE RPH

MEDICARE:   BAO TRAN NGUYEN LE  RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist61222TX

General Provider Information

NPI Number : 1033607783
Entity Type Code : Individual
Provider Name (Legal Business Name) : BAO TRAN NGUYEN LE RPH
Provider Business Mailing Address
First Line : 3115 EDGAR BROWN DR
Second Line :
City : WEST ORANGE
State : TX
Zip : 77630-5347
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3115 EDGAR BROWN DR
Second Line :
City : WEST ORANGE
State : TX
Zip : 77630-5347
Country : US
Telephone Number : 409-882-0551
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2018
Last Update Date : 04/27/2018

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Directions to “ BAO TRAN NGUYEN LE RPH” Practice Location

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