Provider Demographics
NPI:1659346856
Name:LE, VINH QUANG (DO)
Entity Type:Individual
Prefix:
First Name:VINH
Middle Name:QUANG
Last Name:LE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:10411 VETERANS MEMORIAL DR
Mailing Address - Street 2:STE A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77038-1501
Mailing Address - Country:US
Mailing Address - Phone:832-327-7700
Mailing Address - Fax:832-327-7702
Practice Address - Street 1:10411 VETERANS MEMORIAL DR STE A
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77038-1501
Practice Address - Country:US
Practice Address - Phone:832-327-7700
Practice Address - Fax:832-327-7702
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-21
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXL8408207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8U9391OtherBCBS
TX181872601Medicaid
TX181872601Medicaid
TXI39884Medicare UPIN