MEDICARE: DR. DAI BUI 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	208000000X	Pediatrics Physician	K7790	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1487652996
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAI BUI LE M.D.

Provider Business Mailing Address
First Line	:	6140 HIGHWAY 6
Second Line	:	#177
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-3802
Country	:	US
Telephone Number	:	281-261-7385
Fax Number	:	281-261-7389

Provider Business Practice Location Address
First Line	:	5819 HIGHWAY 6
Second Line	:	SUITE 240
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-4052
Country	:	US
Telephone Number	:	281-261-7385
Fax Number	:	281-261-7389

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

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	03/11/2015

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Directions to “ DR. DAI BUI LE M.D.” Practice Location

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