Provider Demographics
NPI:1558567669
Name:THOMAS TRONG LE, M.D., P.A.
Entity Type:Organization
Organization Name:THOMAS TRONG LE, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:TRONG
Authorized Official - Last Name:LE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-995-8600
Mailing Address - Street 1:6918 CORPORATE DR
Mailing Address - Street 2:SUITE A-12
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-5112
Mailing Address - Country:US
Mailing Address - Phone:713-995-8600
Mailing Address - Fax:
Practice Address - Street 1:6918 CORPORATE DR
Practice Address - Street 2:SUITE A-12
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-5112
Practice Address - Country:US
Practice Address - Phone:713-995-8600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-25
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH9365261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX10021550OtherAMERIGROUP
TX8284911OtherCIGNA
TX1351884-07Medicaid
TX0004478804OtherAETNA
TX107609203764OtherHUMANA
TX2256333OtherEATNA HEALTH MAMAGEMENT
TX0-04504OtherEVERCARE
TX02803OtherGREAT-WEST HEALTHCARE
TX1508877259OtherBLUECROSS BLUESHIELD
TX1558567669OtherMEDICARE PART B
TX3551OtherMHHNP
TX345866OtherHEALTH MARKET
TX02803OtherGREAT-WEST HEALTHCARE
TX107609203764OtherHUMANA