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NPI Code Detail

MEDICARE: DR. DZUNG V LE D.O.

MEDICARE: DR. DZUNG V LE 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
1207R00000XInternal Medicine PhysicianL4035TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245222629
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DZUNG V LE D.O.
Provider Business Mailing Address
First Line : 2201 SE LOOP 820
Second Line :
City : FORT WORTH
State : TX
Zip : 76119-5863
Country : US
Telephone Number : 817-730-0004
Fax Number : 817-730-0601
Provider Business Practice Location Address
First Line : 2201 SE LOOP 820
Second Line :
City : FORT WORTH
State : TX
Zip : 76119-5863
Country : US
Telephone Number : 817-730-0004
Fax Number : 817-730-0601
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2005
Last Update Date : 05/08/2015

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