Provider Demographics
NPI:1437605466
Name:LEE, WOONSIK (PA)
Entity Type:Individual
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First Name:WOONSIK
Middle Name:
Last Name:LEE
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:5718 WESTHEIMER RD STE 1800
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-5773
Mailing Address - Country:US
Mailing Address - Phone:281-783-8162
Mailing Address - Fax:
Practice Address - Street 1:1521 S STAPLES ST STE 803
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78404-3187
Practice Address - Country:US
Practice Address - Phone:866-490-2190
Practice Address - Fax:361-882-9681
Is Sole Proprietor?:No
Enumeration Date:2016-08-30
Last Update Date:2023-01-04
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Provider Licenses
StateLicense IDTaxonomies
TXPA10684363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical