Active NPI
Tony Le, PA-C
- Physician Assistant
- Plano, TX
National Provider Identifier
1285407601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA17523
- Practice address
- 6201 Dallas Pkwy Ste 100
Plano, TX 75024-4181 - Phone
- (972) 403-8184
- Fax
- (972) 403-0685
- NPI assigned
- Nov 7, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA17523 | TX | Primary |
Addresses
Primary practice location
6201 Dallas Pkwy Ste 100
Plano, TX 75024-4181
Mailing address
6201 Dallas Pkwy Ste 100
Plano, TX 75024-4181
Phone (972) 403-8184
Other practice location 1
5150 Warren Pkwy Bldg 8
Frisco, TX 75034-7462
Phone (972) 403-8184
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260303003997 | TX | Order and Referring Only - Physician Assistant | 7810479425 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA17523 | TX | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721865600000",
"number": "1285407601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6201 DALLAS PKWY STE 100",
"city": "PLANO",
"state": "TX",
"postal_code": "750244181",
"telephone_number": "972-403-8184",
"fax_number": "972-403-0685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6201 DALLAS PKWY STE 100",
"city": "PLANO",
"state": "TX",
"postal_code": "750244181",
"telephone_number": "972-403-8184",
"fax_number": "972-403-0685"
}
],
"practiceLocations": [
{
"address_1": "5150 Warren Pkwy Bldg 8",
"address_purpose": "LOCATION",
"city": "Frisco",
"state": "TX",
"postal_code": "750347462",
"country_code": "US",
"telephone_number": "972-403-8184",
"fax_number": "972-403-0685",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LE",
"first_name": "TONY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-11-07",
"last_updated": "2024-07-25",
"certification_date": "2024-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA17523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.