Phuong Tram Ngoc Le, M.D.
Internal Medicine, Cardiovascular Disease in Waco, TX. Individual provider (NPI-1).
NPI number1659639433
StatusActive
Last updated in NPPESOct 1, 2020
Details
- NPI
- 1659639433
- Entity type
- Individual (NPI-1)
- Name
- Phuong Tram Ngoc Le
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 30, 2012
- Certification date
- Oct 1, 2020
- Last updated
- Oct 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | Q2793 | TX | Yes |
| 207R00000X | Internal Medicine | Q2793 | TX |
Practice location
120 Hillcrest Medical Blvd Fl 3Waco, TX 76712-8948
Phone 254-297-0500 · Fax 254-297-0506
Mailing address
Po Box 844658Dallas, TX 75284-4658
Phone 254-724-8800
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