MEDICARE: DR. LONG NGUYEN LE M.D.

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	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	R7047	TX
2	208VP0014X	Interventional Pain Medicine Physician	R7047	TX

General Provider Information

NPI Number	:	1265879159
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LONG NGUYEN LE M.D.

Provider Business Mailing Address
First Line	:	8301 KATY FWY STE 101
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-1945
Country	:	US
Telephone Number	:	713-489-1741
Fax Number	:	713-984-8481

Provider Business Practice Location Address
First Line	:	8301 KATY FWY STE 101
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-1945
Country	:	US
Telephone Number	:	713-489-1741
Fax Number	:	713-984-8481

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

Provider Enumeration Date	:	05/31/2013
Last Update Date	:	08/10/2023

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Directions to “ DR. LONG NGUYEN LE M.D.” Practice Location

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