Provider Demographics
NPI:1568445005
Name:LEE, DANIEL C (DO)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:C
Last Name:LEE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4302 S SUGAR RD STE 201
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-9140
Mailing Address - Country:US
Mailing Address - Phone:956-277-1541
Mailing Address - Fax:956-380-4433
Practice Address - Street 1:4302 S SUGAR RD STE 201
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-9140
Practice Address - Country:US
Practice Address - Phone:956-277-1541
Practice Address - Fax:956-380-4433
Is Sole Proprietor?:No
Enumeration Date:2005-11-29
Last Update Date:2017-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM1875207Q00000X, 207V00000X, 207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB159593Medicare PIN
TX1778268-04Medicaid
TXH81624Medicare UPIN
TX8DH445OtherBCBS TX