Provider Demographics
NPI:1376725986
Name:QUAN H LE MD PA
Entity type:Organization
Organization Name:QUAN H LE MD PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:QUAN
Authorized Official - Middle Name:HUONG
Authorized Official - Last Name:LE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-468-8889
Mailing Address - Street 1:8800 LONG POINT RD
Mailing Address - Street 2:STE D
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-3025
Mailing Address - Country:US
Mailing Address - Phone:713-468-8889
Mailing Address - Fax:713-468-1108
Practice Address - Street 1:8800 LONG POINT RD
Practice Address - Street 2:STE D
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-3025
Practice Address - Country:US
Practice Address - Phone:713-468-8889
Practice Address - Fax:713-468-1108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-05
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK6478261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00337MOtherMEDICARE PROVIDER TRANSACTION ACCESS NUMBER (PTAN)
TXH27208Medicare UPIN