Provider Demographics
NPI:1922016997
Name:LE, QUAN HUONG (MD)
Entity Type:Individual
Prefix:DR
First Name:QUAN
Middle Name:HUONG
Last Name:LE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8800 LONG POINT RD
Mailing Address - Street 2:SUITE 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:SUITE 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
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK6478207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXK6478OtherSTATE LICENSE
TX8K7236OtherMEDICARE INDIVIDUAL PROVIDER TRANSACTION ACCESS NUMBER (PTAN)
TXH27208Medicare UPIN