Organization Active NPI

David T. Le, MD, PA

  • Specialist
  • Tomball, TX
National Provider Identifier
1821372335
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
K3605 Issued in TX
Legal business name
DAVID T. LE, MD, PA
Doing business as
David T. Le, MD., PA
Practice address
455 School Street
Suite 40
Tomball, TX 77375-5000
Phone
(281) 255-6922
Fax
(281) 255-6758
NPI assigned
Oct 3, 2011
Last updated
Nov 2, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
DAVID T. LE, MD, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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

Authorized official

Name
Dr. David T Le, MDNPI 1861438525
Title
Owner
Phone
(281) 255-6922

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X K3605 TX Primary

Addresses

Primary practice location

455 School Street
Suite 40
Tomball, TX 77375-5000

Mailing address

455 School Street
Suite 40
Tomball, TX 77375-5000
Phone (281) 255-6922

Other identifiers 1

IdentifierTypeStateIssuer
111908301MedicaidTX

Other names 1

  • David T. Le, MD., PA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111102000296 TX Part B Supplier - Clinic/Group Practice 3375716673 Receives reassigned benefits from 1 practitioner
Practice locations: Tomball, TX; Waller, TX

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1080420David T Le, MD, PA455 School St, Ste 40, Tomball, TX 77375Certificate of waiverFeb 21, 2028

National Provider Directory

National Provider Directory
Part of
David T Le MD PA

Locations

455 School St
Ste 40
Tomball, TX 77375
Phone (281) 255-6922

1221 Farr St
Waller, TX 77484
Phone (281) 937-4546

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1317600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320192000000",
    "number": "1821372335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 SCHOOL STREET",
            "address_2": "SUITE 40",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773755000",
            "telephone_number": "281-255-6922",
            "fax_number": "281-255-6758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 SCHOOL STREET",
            "address_2": "SUITE 40",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773755000",
            "telephone_number": "281-255-6922",
            "fax_number": "281-255-6758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID T. LE, MD, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAVID T. LE, MD, PA",
        "enumeration_date": "2011-10-03",
        "last_updated": "2011-11-02",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-255-6922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "K3605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111908301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David T. Le, MD., PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; 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.