Irving Clinic PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

N4546 Issued in TX

Legal business name

IRVING CLINIC PLLC

Practice address

1451 W Airport Fwy
Suite 1
Irving, TX 75062-6223

Phone

(214) 269-3326

Fax

(214) 269-3327

NPI assigned

Jul 29, 2016

Last updated

Sep 11, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tinh Le, D.O.

Title

Owner

Phone

(972) 924-0600

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1469750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536624000000",
    "number": "1487107140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 W AIRPORT FWY",
            "address_2": "SUITE 1",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750626223",
            "telephone_number": "214-269-3326",
            "fax_number": "214-269-3327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 W AIRPORT FWY",
            "address_2": "SUITE 1",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750626223",
            "telephone_number": "214-269-3326",
            "fax_number": "214-269-3327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRVING CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-29",
        "last_updated": "2018-09-11",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "TINH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-924-0600",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N4546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372956801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Irving Chiropractic & Wellness, Inc.
• Irving Clinical DX Inc
• Irving Coppell Ear, Nose & Throat
• Irving Coppell Surgical Hospital
• Irving Coppell Womens Health Center,PA
• Irving Dental and Orthodontics PLLC

• Internal Medicine Physician in Irving, TX
• Providers in Irving, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; 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.