QUAN DANG LE MD PA; NPI #1730569872

Contact Information

QUAN DANG LE MD PA

200 N CARRIER PKWY
STE 101
GRAND PRAIRIE, TX 75050-5476

Phone: 682-777-5211
Fax: 817-556-0148
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Interventional Pain Medicine	208VP0014X	09	Physician/Interventional Pain Management
Pain Medicine	2081P2900X	25	Physician/Physical Medicine and Rehabilitation
Pain Medicine	208VP0000X	72	Physician/Pain Management
Physical Medicine & Rehabilitation	208100000X	25	Physician/Physical Medicine and Rehabilitation

Indicates primary specialty

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NPI Profile & details for QUAN DANG LE MD PA

NPI Number 1730569872

LBN Legal business name QUAN DANG LE MD PA

Authorized official QUAN LE - (PRESIDENT/OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/03/2015

Last updated 03/09/2016 - About 10 years ago

Identifiers

LA	License #	MD203006
TX	License #	P8048
TX	Other	00S5S5	GRP BCBS
TX	Other	005AAA	TX BCBS

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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