Active NPI
Tracey Ledoux, PHD
- Research Clinic/Center
- Houston, TX
National Provider Identifier
1003453135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Research Clinic/Center
- License
- 33916
- Practice address
- 3615 Latma Dr
Houston, TX 77025-4130 - Phone
- (405) 762-9039
- NPI assigned
- Dec 9, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Research Clinic/Center | 261QR1100X | 33916 | TX | Primary |
Addresses
Primary practice location
3615 Latma Dr
Houston, TX 77025-4130
Mailing address
3875 Holman St Garrison Gym RM 104
Houston, TX 77204-6015
Phone (405) 762-9039
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33916 | TX | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575849600000",
"number": "1003453135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3875 HOLMAN ST GARRISON GYM RM 104",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772046015",
"telephone_number": "405-762-9039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3615 LATMA DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770254130",
"telephone_number": "405-762-9039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEDOUX",
"first_name": "TRACEY",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-09",
"last_updated": "2019-12-09",
"certification_date": "2019-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "261QR1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Research",
"state": "TX",
"license": "33916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.