Active NPI 1386712040 Individual Practitioner Female Practitioner

Dr. Ngoc-Bich Phan Le , MD

Urology • Austin, TX

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Ngoc-Bich Le, MD is a certified Urology practicing in Austin, TX. With approximately 21 years of clinical experience since graduating from Jefferson Medical College Of Thomas Jefferson University in 2005, Dr. Le delivers high-quality medical care to the local community at 12221 N MOPAC EXPY.

Dr. Le is affiliated with The Austin Diagnostic Clinic Pllc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include injection, onabotulinumtoxina, 1 unit, established patient outpatient office visit, ultrasound measurement of bladder capacity after voiding. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12221 N Mopac Expy

Austin, TX 787582401

Telephone 5129011111

Associated Practice Facility / Clinic

🏢 Austin Pathology Associates Facility NPI 1669414330

Medicare Profile & Education

Medical School

Jefferson Medical College Of Thomas Jefferson University

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Austin, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs -2.0 yrs vs City Avg

City Avg: 23.0 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

44 Specialists

Practicing in Austin, TX (1027 Statewide)

Telehealth Adoption Rate

59.1% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

70.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Le (21 Years) 21 Yrs

Austin Specialty Average (23.0 Years) 23.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	5,800	34	$17.48	$6.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	207	138	$227.33	$135.59
51798 Ultrasound measurement of bladder capacity after voiding	104	74	$53.70	$12.16
87086 Bacterial colony count, urine	69	48	$33.26	$7.91
52287 Exam with injections of chemical for destruction of bladder using an endoscope	51	36	$1058.88	$409.80
P9612 Catheterization for collection of specimen, single patient, all places of service	46	43	$9.00	$8.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$335.11	$177.20
99213 Established patient office or other outpatient visit, typically 15 minutes	43	41	$149.19	$96.04
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	36	25	$35.47	$8.48
99459 Pelvic exam	35	34	$54.00	$24.75
52000 Diagnostic exam of bladder and urethra using an endoscope	26	25	$726.15	$235.28
87088 Bacterial urine culture	25	20	$33.80	$7.93
51701 Insertion of temporary bladder tube	24	24	$174.00	$47.55
57260 Plastic repair of vagina and tissue separating vagina, rectum, and bladder	17	17	$2578.24	$555.97
81002 Urinalysis, manual test	17	15	$11.00	$3.41
57288 Creation of sling around bladder canal (urethra) to control leakage	14	14	$2252.43	$394.43
57425 Surgical repair of vaginal defect using an endoscope	11	11	$3104.64	$1025.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	3,000	22	$17.00	$6.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	179	129	$206.00	$127.95
51798 Ultrasound measurement of bladder capacity after voiding	174	122	$59.00	$10.95
87086 Bacterial colony count, urine	170	108	$35.00	$7.78
51701 Insertion of temporary bladder tube	146	109	$180.00	$45.42
99213 Established patient office or other outpatient visit, typically 15 minutes	102	89	$139.00	$90.23
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	78	45	$37.00	$8.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	74	74	$320.00	$166.92
87088 Bacterial urine culture	62	38	$35.00	$7.81
52287 Exam with injections of chemical for destruction of bladder using an endoscope	31	23	$937.00	$394.58
57288 Creation of sling around bladder canal (urethra) to control leakage	27	27	$2192.00	$506.61
52005 Insertion of tube into ureter using an endoscope through bladder area	22	22	$419.00	$64.63
57260 Plastic repair of vagina and tissue separating vagina, rectum, and bladder	17	17	$2544.00	$576.89
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	15	15	$910.00	$338.56
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$278.00	$181.78
51797 Insertion of device into abdomen with pressure and urine flow rate study	14	14	$405.00	$174.33
P9612 Catheterization for collection of specimen, single patient, all places of service	13	13	$9.00	$7.77
81001 Manual urinalysis test with examination using microscope, automated	12	12	$14.00	$3.11
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	12	12	$618.00	$27.39
51741 Electronic assessment of bladder emptying	12	12	$130.00	$5.97
57285 Repair through the vagina of vaginal wall defect	11	11	$2087.00	$325.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	3,250	24	$17.00	$6.14
51798 Ultrasound measurement of bladder capacity after voiding	189	117	$59.00	$11.19
87086 Bacterial colony count, urine	186	108	$35.00	$7.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	170	129	$206.00	$131.47
51701 Insertion of temporary bladder tube	132	99	$180.00	$45.91
99213 Established patient office or other outpatient visit, typically 15 minutes	129	106	$139.00	$92.67
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	96	55	$37.00	$8.53
87088 Bacterial urine culture	93	58	$35.00	$8.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$320.00	$170.08
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	55	39	$40.00	$24.17
52287 Exam with injections of chemical for destruction of bladder using an endoscope	30	24	$937.00	$418.63
52000 Diagnostic exam of bladder and urethra using an endoscope	29	28	$644.00	$248.70
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	17	$278.00	$170.46
57288 Creation of sling around bladder canal (urethra) to control leakage	17	17	$2192.00	$464.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$208.00	$114.10
52005 Insertion of tube into ureter using an endoscope through bladder area	13	13	$419.00	$70.88
57425 Surgical repair of vaginal defect using an endoscope	13	13	$2992.00	$928.22
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	12	12	$812.83	$365.94
51797 Insertion of device into abdomen with pressure and urine flow rate study	12	12	$358.83	$191.35
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	12	12	$555.00	$31.88
51741 Electronic assessment of bladder emptying	12	12	$116.83	$6.81
81002 Urinalysis, manual test	12	11	$11.00	$3.45
51715 Injection of implant material beneath lining of bladder and/or urethra using an endoscope	11	11	$626.00	$187.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	205	139	$206.00	$133.54
87086 Bacterial colony count, urine	193	124	$35.00	$8.07
51798 Ultrasound measurement of bladder capacity after voiding	185	129	$59.00	$10.99
99213 Established patient office or other outpatient visit, typically 15 minutes	150	116	$139.00	$93.55
87088 Bacterial urine culture	127	86	$35.00	$8.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	89	89	$320.00	$170.77
51701 Insertion of temporary bladder tube	81	70	$180.00	$47.63
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	70	51	$37.00	$8.65
51702 Simple insertion of temporary bladder tube	67	61	$232.00	$67.59
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	49	40	$40.00	$24.16
52000 Diagnostic exam of bladder and urethra using an endoscope	46	44	$644.00	$248.35
81002 Urinalysis, manual test	45	40	$11.00	$3.48
57288 Creation of sling around bladder canal (urethra) to control leakage	23	23	$2192.00	$445.68
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	20	$278.00	$186.53
52005 Insertion of tube into ureter using an endoscope through bladder area	19	19	$419.00	$67.54
52287 Exam with injections of chemical for destruction of bladder using an endoscope	18	17	$501.00	$165.39
57425 Surgical repair of vaginal defect using an endoscope	16	16	$2992.00	$908.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$208.00	$116.05
81001 Manual urinalysis test with examination using microscope, automated	12	12	$14.00	$3.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	249	156	$205.79	$111.13
87086 Bacterial colony count, urine	177	120	$35.00	$7.96
87088 Bacterial urine culture	129	86	$35.00	$7.97
51798 Ultrasound measurement of bladder capacity after voiding	117	94	$59.00	$10.79
99213 Established patient office or other outpatient visit, typically 15 minutes	109	87	$139.00	$75.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	83	83	$320.00	$165.20
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	70	42	$37.00	$8.59
51702 Simple insertion of temporary bladder tube	66	63	$232.00	$64.09
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	41	39	$278.00	$148.74
52000 Diagnostic exam of bladder and urethra using an endoscope	34	34	$644.00	$215.98
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	32	31	$40.00	$24.17
57160 Fitting and insertion of vaginal support device	19	11	$234.00	$70.83
52287 Exam with injections of chemical for destruction of bladder using an endoscope	19	17	$501.00	$169.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$208.00	$108.31
57288 Creation of sling around bladder canal (urethra) to control leakage	16	16	$2192.00	$546.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87086 Bacterial colony count, urine	256	162	$35.00	$8.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	247	159	$206.00	$109.19
87088 Bacterial urine culture	178	122	$35.00	$8.78
51798 Ultrasound measurement of bladder capacity after voiding	153	122	$59.00	$13.08
99213 Established patient office or other outpatient visit, typically 15 minutes	122	96	$139.00	$75.04
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	105	91	$278.00	$146.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	105	105	$320.00	$165.49
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	105	74	$37.00	$9.36
81002 Urinalysis, manual test	100	88	$11.00	$3.41
52000 Diagnostic exam of bladder and urethra using an endoscope	50	48	$644.00	$194.35
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	34	30	$40.00	$23.17
51701 Insertion of temporary bladder tube	31	30	$180.00	$45.60
52005 Insertion of tube into ureter using an endoscope through bladder area	27	25	$419.00	$74.48
57160 Fitting and insertion of vaginal support device	25	14	$234.00	$63.82
57288 Creation of sling around bladder canal (urethra) to control leakage	24	24	$2192.00	$430.91
51702 Simple insertion of temporary bladder tube	22	22	$232.00	$63.51
81001 Manual urinalysis test with examination using microscope, automated	20	20	$14.00	$3.45
57425 Surgical repair of vaginal defect using an endoscope	20	19	$2992.00	$912.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$208.00	$109.12
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$398.00	$207.86
57270 Repair of protrusion of intestine into rectum or vagina	14	14	$2458.00	$435.90
74018 X-ray of abdomen, 1 view	13	11	$64.92	$19.66
57240 Repair of herniated bladder into vaginal wall	11	11	$2048.00	$356.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,584	16	$0.50	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	333	211	$249.00	$105.63
51798 Ultrasound measurement of bladder capacity after voiding	220	158	$44.00	$15.89
99213 Established patient office or other outpatient visit, typically 15 minutes	128	107	$168.00	$71.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	101	101	$380.00	$161.35
81003 Automated urinalysis test	91	82	$7.00	$2.71
52000 Diagnostic exam of bladder and urethra using an endoscope	62	59	$477.00	$160.42
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	42	41	$336.00	$142.50
81001 Manual urinalysis test with examination using microscope, automated	42	39	$10.00	$3.84
57160 Fitting and insertion of vaginal support device	36	17	$178.00	$74.98
51701 Insertion of temporary bladder tube	29	28	$127.00	$45.13
52005 Insertion of tube into ureter using an endoscope through bladder area	24	23	$620.00	$66.79
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	24	23	$255.29	$101.16
51797 Insertion of device into abdomen with pressure and urine flow rate study	23	22	$96.30	$38.18
51741 Electronic assessment of bladder emptying	23	22	$19.87	$4.01
A4562 Pessary, reusable, non rubber, any type	23	15	$130.13	$56.71
51700 Simple bladder irrigation and/or instillation	20	17	$194.00	$75.29
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	19	18	$184.74	$17.74
57288 Creation of sling around bladder canal (urethra) to control leakage	14	14	$1658.00	$434.29
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	13	$457.97	$202.00
57425 Surgical repair of vaginal defect using an endoscope	13	13	$2240.00	$962.63
74178 Ct scan of abdomen and pelvis before and after contrast	13	13	$588.00	$238.88
57270 Repair of protrusion of intestine into rectum or vagina	12	12	$1843.00	$398.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$250.00	$94.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,683	17	$0.50	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	294	198	$249.00	$105.76
51798 Ultrasound measurement of bladder capacity after voiding	188	139	$44.00	$19.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	137	137	$380.00	$161.43
99213 Established patient office or other outpatient visit, typically 15 minutes	121	97	$168.00	$70.68
81003 Automated urinalysis test	85	76	$7.00	$2.99
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	76	69	$336.00	$139.99
52000 Diagnostic exam of bladder and urethra using an endoscope	68	66	$477.00	$161.32
51701 Insertion of temporary bladder tube	48	47	$127.00	$47.79
57160 Fitting and insertion of vaginal support device	33	15	$178.00	$76.68
52005 Insertion of tube into ureter using an endoscope through bladder area	31	30	$620.00	$63.96
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	29	24	$287.59	$120.64
51741 Electronic assessment of bladder emptying	29	24	$20.07	$4.54
51797 Insertion of device into abdomen with pressure and urine flow rate study	28	23	$106.57	$46.32
51700 Simple bladder irrigation and/or instillation	27	26	$194.00	$72.22
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	27	22	$196.67	$18.37
81001 Manual urinalysis test with examination using microscope, automated	27	25	$10.00	$4.26
57288 Creation of sling around bladder canal (urethra) to control leakage	19	19	$1658.00	$417.98
36415 Insertion of needle into vein for collection of blood sample	18	18	$15.00	$2.80
52287 Exam with injections of chemical for destruction of bladder using an endoscope	18	15	$726.00	$157.70
A4562 Pessary, reusable, non rubber, any type	17	12	$130.13	$56.10
76000 Imaging guidance for procedure, 60 minutes or less	16	16	$20.00	$8.70
57425 Surgical repair of vaginal defect using an endoscope	15	15	$2240.00	$921.38
74178 Ct scan of abdomen and pelvis before and after contrast	14	14	$588.00	$255.92
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$468.00	$200.98
57260 Plastic repair of vagina and tissue separating vagina, rectum, and bladder	12	12	$1926.00	$792.18
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$478.00	$205.07

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License TX Q8097

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Urology

NUCC Taxonomy Code: 208800000X

State License FL ME 107806

Urology

NUCC Taxonomy Code: 208800000X

State License CA A113040

Urology - Female Pelvic Medicine and Reconstructive Surgery

NUCC Taxonomy Code: 2088F0040X

State License NC 2012-00911

A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.

Hospital & Practice Group Affiliations

The Austin Diagnostic Clinic Pllc

1201 W 38th St, Austin, TX 787051006

Phone: 5123241000

The Austin Diagnostic Clinic Pllc

12221 N Mopac Expy, Austin, TX 787582483

Phone: 5129011111

The Austin Diagnostic Clinic Pllc

12221 N Mopac Expy, Austin, TX 787582401

Phone: 5129012530

The Austin Diagnostic Clinic Pllc

5701 W Slaughter Ln, Austin, TX 787496528

Phone: 5123342401

The Austin Diagnostic Clinic Pllc

901 W Ben White Blvd, Austin, TX 787046903

Phone: 5124472211

The Austin Diagnostic Clinic Pllc

12221 N Mopac Expy, Austin, TX 787582401

Phone: 5129012530

The Austin Diagnostic Clinic Pllc

901 W Ben White Blvd, Austin, TX 787046903

Phone: 5124472211

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Dr. Sarah Hutton , DO

Student in an Organized Health Care Education/Training Program

NPI 1174264477

Doctor of Osteopathic Medicine (D.O.)

Lauren Juarez , CPNP-PC

Nurse Practitioner - Pediatrics

NPI 1285108696

CPNPPC

Fernanda Almeida

Dietitian, Registered

NPI 1487009775

Eman Khiri

Family Medicine

NPI 1578747531

Dr. Beth Rasmussen , AuD

Audiologist

NPI 1598932196

Doctor of Audiology

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

17 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2022

Urology (License #Q8097 in TX)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 29, 2021

Urology (License #2012-00911 in NC)

📍

Updated Practice Location June 14, 2019

Registered at 12221 N MOPAC EXPY, AUSTIN, TX 787582401 (Tel: 5129011111)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2019

Urology (License #ME 107806 in FL)

📍

Updated Business Mailing Address January 21, 2019

Registered at 12221 N MOPAC EXPY, AUSTIN, TX 787582401 (Tel: 5129011111)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2019

Urology (License #A113040 in CA)

✅

NPI Profile Active February 21, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location February 21, 2017

Registered at 1301 W 38TH ST, SUITE 200, AUSTIN, TX 787051000 (Tel: 5124775905)

📍

Updated Business Mailing Address February 21, 2017

Registered at 1020 W 34TH ST, AUSTIN, TX 787052009 (Tel: 5126871950)

👤

Provider Name / Credentials Updated February 21, 2017

Recorded as NGOC-BICH LE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2017

Urology (License #ME 107806 in FL)

✅

NPI Profile Active August 22, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location August 22, 2012

Registered at 40 DUKE MEDICINE CIR, DURHAM, NC 277104000 (Tel: 9196848111)

📍

Updated Business Mailing Address August 22, 2012

Registered at 5213 S ALSTON AVE, DURHAM, NC 277134430 (Tel: 9196848111)

👤

Provider Name / Credentials Updated August 22, 2012

Recorded as NGOC-BICH LE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2012

Urology (License #ME 107806 in FL)

🟢

Initial NPI Registration & Enumeration December 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1386712040

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 01, 2006

Last Update: February 09, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

12221 N Mopac Expy

Austin, TX 787582401

Phone: 5129011111

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.