MEDICARE: TRINH LECOMTE MEDICAL SERVICES, PLLC

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	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1275183014
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRINH LECOMTE MEDICAL SERVICES, PLLC

Provider Business Mailing Address
First Line	:	10102 N LAMAR BLVD
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78753-3602
Country	:	US
Telephone Number	:	972-814-3649
Fax Number	:

Provider Business Practice Location Address
First Line	:	10102 N LAMAR BLVD
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78753-3602
Country	:	US
Telephone Number	:	972-814-3649
Fax Number	:

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	SUZANNE JONES
Credential	:
Telephone Number	:	281-570-8874

Provider Enumeration Date	:	09/13/2019
Last Update Date	:	09/13/2019

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