Organization
QUAN DANG LE MD PA
Active
Other names
DFW PAIN SPORTS AND SPINE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
QUAN D LE MD (PRESIDENT/OWNER)
(214) 714-7577
Entity
Organization
Contact information
Practice address
200 N CARRIER PKWY, STE 101, GRAND PRAIRIE, TX 75050-5476
(682) 777-5211
(817) 556-0148
Mailing address
1917 PARK AVE N, 210, ARLINGTON, TX 76010-0884
(682) 777-5211
(817) 556-0148
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
MD203006
LA
208100000X
Physical Medicine & Rehabilitation Physician
P8048
TX
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
MD203006
LA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
P8048
TX
208VP0000X
Pain Medicine Physician
MD203006
LA
208VP0000X
Pain Medicine Physician
P8048
TX
208VP0014X
Interventional Pain Medicine Physician
MD203006
LA
208VP0014X
Interventional Pain Medicine Physician
Primary
P8048
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005AAA
TX BCBS
TX
01
—
00S5S5
GRP BCBS
TX
Enumeration date
06/03/2015
Last updated
03/09/2016
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