Peachtree Medical, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L8408 Issued in TX

Legal business name

PEACHTREE MEDICAL, PA

Practice address

10411 Veterans Memorial Dr
Suite a
Houston, TX 77038-1501

Phone

(832) 327-7700

Fax

(832) 327-7702

NPI assigned

Jun 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Vinh Quang Le, D.O.NPI 1659346856

Title

Director

Phone

(832) 327-7700

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

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

• Vinh Quang Le, D.O.

  • Family Medicine Physician
  • Houston, TX
  • NPI 1659346856
  Medicare reassignment NPD Authorized official
• Eliana Alonzo, FNP-C

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1013442805
  Medicare reassignment NPD
• Jade Truong

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1588913305
  Medicare reassignment NPD
• Gabriella Valverde Ha, PA-C

  • Physician Assistant
  • Houston, TX
  • NPI 1043738677
  NPD
• Binh Duong

  • Physician Assistant
  • Houston, TX
  • NPI 1972025120
  NPD (past)
• Hien Huu Viet Le

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1205498375
  NPD (past)
• Ngoc Nguyen

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1629546098
  NPD (past)
• Phuong Pham, FNP-C

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1386090280
  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471392000000",
    "number": "1790726545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10411 VETERANS MEMORIAL DR",
            "address_2": "SUITE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770381501",
            "telephone_number": "832-327-7700",
            "fax_number": "832-327-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10411 VETERANS MEMORIAL DR",
            "address_2": "SUITE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770381501",
            "telephone_number": "832-327-7700",
            "fax_number": "832-327-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHTREE MEDICAL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2016-08-17",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "VINH",
        "authorized_official_middle_name": "QUANG",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "832-327-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L8408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181871801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peaceful Living
• Peaceful Pathways Community Services Inc
• Peaceful Tranquility Hospice Incorporated
• Peach Home Health Services Inc
• Peachtree Inc
• Chimira Peacock
• Cynthia Peacock, MD
• Donna Barnes Peacock
• Leslie Caryl Peacock
• Sandra Peacock, MS, CGC

• Family Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.