Provider Demographics
NPI:1154637510
Name:LEE &LEE ALVIN1 PLLC
Entity Type:Organization
Organization Name:LEE &LEE ALVIN1 PLLC
Other - Org Name:CROWN DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KAY
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-585-2300
Mailing Address - Street 1:10260 WESTHEIMER RD
Mailing Address - Street 2:STE 390
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-3110
Mailing Address - Country:US
Mailing Address - Phone:713-977-5300
Mailing Address - Fax:713-977-5348
Practice Address - Street 1:3124 S HIGHWAY 35
Practice Address - Street 2:
Practice Address - City:ALVIN
Practice Address - State:TX
Practice Address - Zip Code:77511-4737
Practice Address - Country:US
Practice Address - Phone:281-585-2300
Practice Address - Fax:281-585-2301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-24
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1770455-03Medicaid