Organization
QUAN H LE MD PA
Active
Other names
Optimus Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. QUAN HUONG LE M.D. (MEDICAL DIRECTOR)
(713) 468-8889
Entity
Organization
Contact information
Practice address
8800 LONG POINT RD, STE D, HOUSTON, TX 77055-3025
(713) 468-8889
(713) 468-1108
Mailing address
8800 LONG POINT RD, STE D, HOUSTON, TX 77055-3025
(713) 468-8889
(713) 468-1108
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
K6478
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00337M
MEDICARE PROVIDER TRANSACTION ACCESS NUMBER (PTAN)
TX
Enumeration date
12/05/2007
Last updated
07/22/2008
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