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NPI Code Detail

MEDICARE: DR. QUANG TRONG LE DO

MEDICARE: DR. QUANG TRONG LE DO
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
1207R00000XInternal Medicine PhysicianL6096TX

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 : 1992702062
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. QUANG TRONG LE DO
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 :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2005
Last Update Date : 09/08/2014

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Directions to “ DR. QUANG TRONG LE DO” Practice Location

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