TU KHAC LE (NPI# 1649258757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649258757 |
| Entity Type | Individual |
| Full Name | TU KHAC LE |
| Credential | M.D. |
| Practice Address |
1924 Forest Ridge Dr Bedford TX 76021-5727 |
| Practice Telephone | 8175454550 |
| Practice Fax Number | 8175710804 |
| Mailing Telephone | 8175454550 |
| Mailing Fax Number | 8175710804 |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2015-01-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
L7003 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 160809306 | 05 | |
| TX | BCBS | 8AX681 | 01 |
| Street Address |
1924 FOREST RIDGE DR |
| City | BEDFORD |
| State | TX |
| Zip Code | 76021-5727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073515508 | Samuel A Nussbaumer | Internal Medicine | 1924 Forest Ridge Dr, Bedford, TX 76021-8228 | 2005-08-15 |
| 1619433927 | Hang Tran | Physician Assistant | 1924 Forest Ridge Dr, Bedford, TX 76021-8228 | 2019-02-12 |
| 1265824106 | Margaret Ashley Ceranti | Physician Assistant | 1924 Forest Ridge Dr, Bedford, TX 76021-8228 | 2015-03-02 |
| 1144612508 | Rebecca Waggoner | Nurse Practitioner | 1924 Forest Ridge Dr, Bedford, TX 76021-8228 | 2015-02-23 |
| 1245636190 | James Rose | Clinical Nurse Specialist | 1924 Forest Ridge Dr, Bedford, TX 76021-8228 | 2014-11-05 |
| 1760508592 | Neeraj Badhey | Internal Medicine | 1924 Forest Ridge Dr, Bedford, TX 76021-5727 | 2007-03-22 |
| 1013909258 | Srinivas N Paranandi | Internal Medicine | 1924 Forest Ridge Dr, Bedford, Bedford, TX 76021-8228 | 2005-08-15 |
| 1700888229 | Michael J Duran | Internal Medicine | 1924 Forest Ridge Dr, Bedford, TX 76021-8228 | 2005-08-15 |
| 1356343867 | David R Eisen | Internal Medicine | 1924 Forest Ridge Dr, Bedford, Bedford, TX 76021-8228 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396357851 | Crystal Le | Pharmacist | 4121 E Hardwood Rd, Bedford, TX 76021 | 2020-08-17 |
| 1114544095 | Morgan Sanders | Physical Therapist | 2419 Tx 121, Bedford, TX 76021 | 2020-06-26 |
| 1669938171 | Tracie Thomas | Nurse Practitioner | 3901 Airport Freeway, Suite 230, Bedford, TX 76021 | 2019-02-20 |
| 1346710928 | Bedford Pharmacy LLC | Pharmacy | 2816 Central Dr Ste 160, Bedford, TX 76021 | 2018-11-27 |
| 1861973562 | Healogix Consultants, LLC | Pharmacy | 601-1 Harwood Rd, Bedford, TX 76021 | 2018-08-22 |
| 1851870570 | Artie Lee Nolen | Licensed Vocational Nurse | 1415 Shady Ln, Bedford, TX 76021 | 2018-08-13 |
| 1821510496 | Gabriela D Driskill | Counselor | 201 E. 9th Street, Dallas, TX 76021 | 2017-07-14 |
| 1588190938 | Tdc-bedford Dialysis Clinic LLC | Clinic/Center | 725 N Industrial Blvd, Ste 100, Bedford, TX 76021 | 2017-05-04 |
| 1801246673 | Tamara Allen-wolf, LLC | Counselor | 2217 Martin Dr., Ste 200, Bedford, TX 76021 | 2016-06-13 |
| 1013399799 | Nirvana Dental | Clinic/Center | 3704 Cheek Sparger Road #100, Bedford, TX 76021 | 2015-06-18 |
| Find all providers in zip 76021 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073515508 | Samuel A Nussbaumer | Internal Medicine | 1924 Forest Ridge Dr, Bedford, TX 76021-8228 | 2005-08-15 |
| 1396025102 | Fisher Cardiology and Electrophysiology | Internal Medicine | 1305 Airport Fwy, Suite 424, Bedford, TX 76021-6605 | 2011-08-24 |
| 1295745362 | Texas Health Harris Methodist Hospital Hurst-euless-bedford | Internal Medicine | 1600 Hospital Pkwy, Bedford, TX 76022-6913 | 2006-08-09 |
| 1811955123 | Iyad Rashdan | Internal Medicine | 1604 Hospital Pkwy, Suite 301, Bedford, TX 76022-6986 | 2006-05-03 |
| 1942264932 | Andrew H Miller | Internal Medicine | 1604 Hospital Pkwy, Suite 301, Bedford, TX 76022-6986 | 2006-04-14 |
| 1740244730 | Ali L Moustapha | Internal Medicine | 1604 Hospital Pkwy, Suite 301, Bedford, TX 76022-6986 | 2006-04-14 |
| 1366405268 | Rajesh B Vrushab | Internal Medicine | 1305 Airport Fwy, Ste 421, Bedford, TX 76021-6605 | 2006-04-11 |
| 1013909258 | Srinivas N Paranandi | Internal Medicine | 1924 Forest Ridge Dr, Bedford, Bedford, TX 76021-8228 | 2005-08-15 |
| 1740282268 | Russell G Fisher | Internal Medicine | 1305 Airport Fwy, Suite 424, Bedford, TX 76021-6605 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205433455 | Chalkias Cardiology Pllc | Internal Medicine | 11671 Jollyville Rd Ste 120, Austin, TX 78759-4141 | 2020-10-01 |
| 1992318992 | Us Televero Health Pa | Internal Medicine | 1204 Rockcliff Rd, Austin, TX 78746-1604 | 2020-08-28 |
| 1245856087 | Texas Heart Medical Group | Internal Medicine | 6770 Bertner Avenue, Houston, TX 77030-2604 | 2020-06-17 |
| 1043831753 | Shawn Sommerlad Pllc | Internal Medicine | 322 Robin Way, Richardson, TX 75080-2522 | 2020-05-04 |
| 1295354611 | Cardiocentric | Internal Medicine | 1401 Seminole Dr, Richardson, TX 75080-3738 | 2020-04-15 |
| 1134750995 | Specialized Heart Care, Pllc. | Internal Medicine | 7200 N Highway 161 Ste 205, Irving, TX 75039-4132 | 2020-01-30 |
| 1114578978 | Amir Azeem, Md, Pa | Internal Medicine | 5306 Clouds Creek Ln, Sugar Land, TX 77479-4940 | 2019-09-24 |
| 1831740802 | Premier Heart Center, Pllc | Internal Medicine | 10440 N Central Expy Ste 1400, Dallas, TX 75231-2235 | 2019-09-21 |
| 1124677042 | Kirk M Lipscomb | Internal Medicine | 2902 Canyon Creek Dr, Richardson, TX 75080-1503 | 2019-09-04 |
| 1790333516 | C Care Cardiovascular Center | Internal Medicine | 1445 Bessemer Dr Ste E, El Paso, TX 79936-5909 | 2019-08-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.