Individual
PHUONG TRAM NGOC LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
120 HILLCREST MEDICAL BLVD FL 3, WACO, TX 76712-8948
(254) 297-0500
(254) 297-0506
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Q2793
TX
207RC0000X
Cardiovascular Disease Physician
Primary
Q2793
TX
Other
Enumeration date
04/30/2012
Last updated
10/01/2020
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