MEDICARE: DR. HUNG MINH 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	207R00000X	Internal Medicine Physician	M1870	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00285183	OTHER	TX	RAILROAD MEDICARE

General Provider Information

NPI Number	:	1811978182
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HUNG MINH LE M.D.

Provider Business Mailing Address
First Line	:	11920 ASTORIA BLVD STE 300
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77089-6097
Country	:	US
Telephone Number	:	281-481-8878
Fax Number	:	281-481-9020

Provider Business Practice Location Address
First Line	:	11920 ASTORIA BLVD STE 300
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77089-6097
Country	:	US
Telephone Number	:	281-481-8878
Fax Number	:	281-481-9020

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

Provider Enumeration Date	:	11/14/2005
Last Update Date	:	09/23/2024

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