Provider Demographics
NPI:1215013685
Name:LEE, SHERRY HSIU-HUEI (OMD)
Entity Type:Individual
Prefix:DR
First Name:SHERRY
Middle Name:HSIU-HUEI
Last Name:LEE
Suffix:
Gender:F
Credentials:OMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5944 CAPE CORAL DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-7273
Mailing Address - Country:US
Mailing Address - Phone:512-330-0554
Mailing Address - Fax:
Practice Address - Street 1:3410 FAR WEST BLVD
Practice Address - Street 2:SUITE 301
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-3272
Practice Address - Country:US
Practice Address - Phone:512-342-9125
Practice Address - Fax:512-342-9126
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-28
Last Update Date:2009-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX00313171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAC00313OtherACUPUNTURIST