Provider Demographics
NPI:1285847020
Name:LEE, MARGARET (MD)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:218AW MAIN ST C
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62220-1504
Mailing Address - Country:US
Mailing Address - Phone:713-972-8900
Mailing Address - Fax:888-876-4946
Practice Address - Street 1:6624 FANNIN ST STE 1240
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2324
Practice Address - Country:US
Practice Address - Phone:832-355-5575
Practice Address - Fax:832-355-5769
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2015-08-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM4277207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00446775OtherRAILROAD MEDICARE