Provider Demographics
NPI:1356440325
Name:LEE, ANDREW K (MD)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:K
Last Name:LEE
Suffix:
Gender:M
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:PO BOX 19612
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77224-9612
Mailing Address - Country:US
Mailing Address - Phone:713-423-0990
Mailing Address - Fax:713-424-8400
Practice Address - Street 1:915 GESSNER RD
Practice Address - Street 2:STE 975
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2527
Practice Address - Country:US
Practice Address - Phone:713-423-0990
Practice Address - Fax:713-424-8400
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2013-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK3782207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX87400YOtherBCBS
TX760574953OtherTRICARE
TX8F0742Medicare ID - Type Unspecified
TX760574953OtherTRICARE
TX87400YOtherBCBS