Provider Demographics
NPI:1104906536
Name:CHENG, LE-BENG (MD)
Entity type:Individual
Prefix:
First Name:LE-BENG
Middle Name:
Last Name:CHENG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6630 DE MOSS DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-5004
Mailing Address - Country:US
Mailing Address - Phone:713-272-2600
Mailing Address - Fax:713-272-5589
Practice Address - Street 1:6630 DE MOSS DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-5004
Practice Address - Country:US
Practice Address - Phone:713-272-2600
Practice Address - Fax:713-272-5589
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2010-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD9098208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX127071202Medicaid
TX127071203OtherCIDC
F13676Medicare UPIN
TXTXB112324Medicare PIN
TX82J372Medicare PIN