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NPI Code Detail

MEDICARE: DR. TRUC LE JR. D.O.

MEDICARE:  DR. TRUC  LE JR. D.O.
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
1207Q00000XFamily Medicine PhysicianK6479TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1080182303OTHERTXRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
38F5660OTHERTXBCBS OF TEXAS

General Provider Information

NPI Number : 1093714388
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TRUC LE JR. D.O.
Provider Business Mailing Address
First Line : 3003 S LOOP W
Second Line : SUITE 210
City : HOUSTON
State : TX
Zip : 77054-1301
Country : US
Telephone Number : 713-662-9500
Fax Number : 713-662-9501
Provider Business Practice Location Address
First Line : 3003 S LOOP W
Second Line : SUITE 210
City : HOUSTON
State : TX
Zip : 77054-1301
Country : US
Telephone Number : 713-662-9500
Fax Number : 713-662-9501
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2005
Last Update Date : 05/20/2008

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Directions to “ DR. TRUC LE JR. D.O.” Practice Location

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