Individual
DI VAN LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
250 BLOSSOM ST, STE 400, WEBSTER, TX 77598-4204
(281) 604-1300
(281) 724-0225
Mailing address
250 BLOSSOM ST, STE 400, WEBSTER, TX 77598-4204
(281) 604-1300
(281) 724-0225
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G4157
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080132114
RAILROAD MEDICARE
TX
05
—
098508701
—
TX
01
—
5842696
AETNA
TX
01
—
87286J
BCBS
TX
01
—
87591Z
HMO BLUE
TX
Enumeration date
09/01/2005
Last updated
01/28/2022
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