Quan Dang Le MD PA

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

P8048 Issued in TX

Legal business name

QUAN DANG LE MD PA

Practice address

200 N Carrier Pkwy
Ste 101
Grand Prairie, TX 75050-5476

Phone

(682) 777-5211

Fax

(817) 556-0148

NPI assigned

Jun 3, 2015

Organization subpart

No

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

Authorized official

Name

Quan D Le, MD

Title

President/Owner

Phone

(214) 714-7577

Specialties & licenses 8

Addresses

Other identifiers 2

Other names 1

• DFW PAIN SPORTS AND SPINE CENTER Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bienvenido Gatmaitan Gatmaitan

  • Infectious Disease Physician
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  • NPI 1043211816
  NPD (past)

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457481600000",
    "number": "1730569872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1917 PARK AVE N",
            "address_2": "210",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760100884",
            "telephone_number": "682-777-5211",
            "fax_number": "817-556-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N CARRIER PKWY",
            "address_2": "STE 101",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750505476",
            "telephone_number": "682-777-5211",
            "fax_number": "817-556-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUAN DANG LE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-03",
        "last_updated": "2016-03-09",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "QUAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "214-714-7577",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "P8048",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "LA",
            "license": "MD203006",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TX",
            "license": "P8048",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "LA",
            "license": "MD203006",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "P8048",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "LA",
            "license": "MD203006",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "P8048",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "LA",
            "license": "MD203006",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX BCBS",
            "identifier": "005AAA",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRP BCBS",
            "identifier": "00S5S5",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DFW PAIN SPORTS AND SPINE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Interventional Pain Medicine Physician in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Interventional Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; 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.