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Organization
QUANG TRONG LE DO PA
Active
Organization
QUANG TRONG LE DO PA
Active
Other names
River Park Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. QUANG TRONG LE DO (DO/OWNER)
(817) 731-1289
Entity
Organization
Contact information
Practice address
2550 RIVER PARK PLZ, SUITE 110, FORT WORTH, TX 76116-0920
(817) 731-1289
(817) 731-1291
Mailing address
2550 RIVER PARK PLZ, SUITE 110, FORT WORTH, TX 76116-0920
(817) 731-1289
(817) 731-1291
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168553902
—
TX
Enumeration date
07/07/2005
Last updated
01/08/2019
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