MEDICARE: MR. DAVID DUNG LE MD

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
1	208D00000X	General Practice Physician	F6356	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1255599726	OTHER	TX	NPI
2	F6356	OTHER	TX	LICENSE
3	204529959	OTHER	TX	TXID

General Provider Information

NPI Number	:	1255599726
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAVID DUNG LE MD

Provider Business Mailing Address
First Line	:	6206 DASHWOOD DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-4214
Country	:	US
Telephone Number	:	713-778-1904
Fax Number	:	713-778-0130

Provider Business Practice Location Address
First Line	:	6206 DASHWOOD DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-4214
Country	:	US
Telephone Number	:	713-778-1904
Fax Number	:	713-778-0130

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/30/2008
Last Update Date	:	09/09/2016

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Directions to “ MR. DAVID DUNG LE MD” Practice Location

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