Individual provider Active NPI

Truc Le, DC, ATP

  • Other Technician
  • Watauga, TX
National Provider Identifier
1053787408
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
License
93080 Issued in TX
Practice address
5930 Plum St Ste 132
Watauga, TX 76148-3470
Phone
(817) 692-1135
Fax
(817) 692-1135
NPI assigned
Aug 19, 2015
Last updated
Mar 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X 93080 TX Primary
Chiropractor 111N00000X 12610 TX

Addresses

Primary practice location

5930 Plum St Ste 132
Watauga, TX 76148-3470

Mailing address

5930 Plum St Ste 132
Watauga, TX 76148-3470
Phone (817) 393-7026

Other practice location 1

5407 Basswood Blvd Ste 101
Fort Worth, TX 76137-4499
Phone (817) 576-4111

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

State licenses

LicenseStateTypeSpecialty
12610TXMDGeneral Practice Dentistry
93080TXMDOther Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Le Mobility, LLC Technician, Other CurrentSince Dec 7, 2025 Accepting new patients

Locations

5930 Plum St
Ste 132
Watauga, TX 76148
Phone (817) 393-7026

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1053787408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5930 PLUM ST STE 132",
            "city": "WATAUGA",
            "state": "TX",
            "postal_code": "761483470",
            "telephone_number": "817-393-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5930 PLUM ST STE 132",
            "city": "WATAUGA",
            "state": "TX",
            "postal_code": "761483470",
            "telephone_number": "817-692-1135",
            "fax_number": "817-692-1135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5407 Basswood Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761374499",
            "country_code": "US",
            "telephone_number": "817-576-4111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "TRUC",
        "name_prefix": "Dr.",
        "credential": "DC, ATP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-19",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "TX",
            "license": "93080",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12610",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watauga, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.