Provider Demographics
NPI:1013190362
Name:DANIEL D. LE, MD, PA
Entity Type:Organization
Organization Name:DANIEL D. LE, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:DINH
Authorized Official - Last Name:LE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-575-1144
Mailing Address - Street 1:10515 BELLAIRE BLVD
Mailing Address - Street 2:SUITE J
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-5234
Mailing Address - Country:US
Mailing Address - Phone:281-575-1144
Mailing Address - Fax:281-575-8114
Practice Address - Street 1:10515 BELLAIRE BLVD
Practice Address - Street 2:SUITE J
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-5234
Practice Address - Country:US
Practice Address - Phone:281-575-1144
Practice Address - Fax:281-575-8114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-10
Last Update Date:2007-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK1235261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00169KMedicare PIN