Provider Demographics
NPI:1164576088
Name:LE, TRI (DPM)
Entity Type:Individual
Prefix:DR
First Name:TRI
Middle Name:
Last Name:LE
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10434 ALCOTT DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77043-2109
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:837 FM 1960 WEST RD.
Practice Address - Street 2:SUITE # 107
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090
Practice Address - Country:US
Practice Address - Phone:281-397-0777
Practice Address - Fax:281-397-0001
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1479213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXY0113314OtherDEPT OF PUBLIC SAFETY
TX1121881002Medicaid
TX1121881002Medicaid
TX00784EMedicare ID - Type UnspecifiedMEDICARE
TX5430500001Medicare NSC
TXBL6547737OtherDEA NUMBER