Grand Cinco Medical Clinic, P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

J4293 Issued in TX

Legal business name

GRAND CINCO MEDICAL CLINIC, P.A.

Practice address

2830 Commercial Center Blvd
Ste 102
Katy, TX 77494-6405

Phone

(281) 693-1700

Fax

(281) 693-1712

NPI assigned

Sep 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Hung Viet Le, M.D.

Title

Director

Phone

(281) 693-1700

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699871202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 COMMERCIAL CENTER BLVD",
            "address_2": "STE 102",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946405",
            "telephone_number": "281-693-1700",
            "fax_number": "281-693-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 COMMERCIAL CENTER BLVD",
            "address_2": "STE 102",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946405",
            "telephone_number": "281-693-1700",
            "fax_number": "281-693-1712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND CINCO MEDICAL CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "HUNG",
        "authorized_official_middle_name": "VIET",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "281-693-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J4293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Katy, TX
• Providers in Katy, 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 Aug 22, 2020; 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.