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NPI Code Detail

MEDICARE: QUANG TRONG LE DO PA

MEDICARE: QUANG TRONG LE DO PA
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 Physician
2207QG0300XGeriatric Medicine (Family Medicine) Physician
3363LF0000XFamily Nurse Practitioner
4207R00000XInternal Medicine Physician

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 : 1417954389
Entity Type Code : Organization
Provider Name (Legal Business Name) : QUANG TRONG LE DO PA
Provider Business Mailing Address
First Line : 2550 RIVER PARK PLZ
Second Line : SUITE 110
City : FORT WORTH
State : TX
Zip : 76116-0920
Country : US
Telephone Number : 817-731-1289
Fax Number : 817-731-1291
Provider Business Practice Location Address
First Line : 2550 RIVER PARK PLZ
Second Line : SUITE 110
City : FORT WORTH
State : TX
Zip : 76116-0920
Country : US
Telephone Number : 817-731-1289
Fax Number : 817-731-1291
Authorized Official
Title or Position : DO/OWNER
Name : DR. QUANG TRONG LE
Credential : DO
Telephone Number : 817-731-1289
Provider Enumeration Date : 07/07/2005
Last Update Date : 01/08/2019

Similar Medicare Providers

1992702062 — DR. QUANG TRONG LE DO
Practice Location Address:
2550 RIVER PARK PLZ , SUITE 110
FORT WORTH, TX
76116-0920
Practice Phone: 817-731-1289
Practice Fax: 817-731-1291
1265489330 — LILY N TRAN DO
Practice Location Address:
2550 RIVER PARK PLZ , SUITE 110
FORT WORTH, TX
76116-0920
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Practice Fax: 817-731-1291
1093735292 — MR. NGOC VAN TRAN DO
Practice Location Address:
2550 RIVER PARK PLZ , SUITE 110
FORT WORTH, TX
76116-0920
Practice Phone: 817-731-1289
Practice Fax: 817-731-1291
1144461260 — NICOLE MINSHEW PA
Practice Location Address:
2550 RIVER PARK PLZ , SUITE110
FORT WORTH, TX
76116-0920
Practice Phone: 817-731-1289
Practice Fax: 817-731-1291
1801212642 — LE THAO NGUYEN NP
Practice Location Address:
2550 RIVER PARK PLZ , SUITE 110
FORT WORTH, TX
76116-0920
Practice Phone: 817-731-1289
Practice Fax: 817-731-1291
1083028237 — CHRISSY ANN SUMPTER PA-C
Practice Location Address:
2550 RIVER PARK PLZ , SUITE 110
FORT WORTH, TX
76116-0920
Practice Phone: 817-731-1289
Practice Fax: 817-731-1291

Directions to “QUANG TRONG LE DO PA ” Practice Location

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