Provider Demographics
NPI:1356427579
Name:LE, SY QUOC (MD)
Entity type:Individual
Prefix:DR
First Name:SY
Middle Name:QUOC
Last Name:LE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:SY
Other - Middle Name:Q
Other - Last Name:LE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:7501 LAS COLINAS BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063
Mailing Address - Country:US
Mailing Address - Phone:972-506-9986
Mailing Address - Fax:972-506-0044
Practice Address - Street 1:7501 LAS COLINAS BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063
Practice Address - Country:US
Practice Address - Phone:972-506-9986
Practice Address - Fax:972-506-0044
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH6372207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
F25785Medicare UPIN