Provider Demographics
NPI:1194028332
Name:LEE S. POLLACK, M.D., P.A.
Entity Type:Organization
Organization Name:LEE S. POLLACK, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:LEE
Authorized Official - Middle Name:S
Authorized Official - Last Name:POLLACK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-367-1388
Mailing Address - Street 1:PO BOX 1059
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77383-1059
Mailing Address - Country:US
Mailing Address - Phone:281-367-1388
Mailing Address - Fax:
Practice Address - Street 1:25510 INTERSTATE 45 N
Practice Address - Street 2:STE 200
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386-1375
Practice Address - Country:US
Practice Address - Phone:281-367-1388
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-09
Last Update Date:2010-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH57302084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty