Provider Demographics
NPI:1609824457
Name:MOROZ, LEE E (MD)
Entity Type:Individual
Prefix:DR
First Name:LEE
Middle Name:E
Last Name:MOROZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1601 RIO GRANDE ST
Mailing Address - Street 2:SUITE 340
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78701-1137
Mailing Address - Country:US
Mailing Address - Phone:512-324-8960
Mailing Address - Fax:512-324-8962
Practice Address - Street 1:1600 W 38TH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-6400
Practice Address - Country:US
Practice Address - Phone:512-324-3580
Practice Address - Fax:512-324-3581
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2012-12-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM2411208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX209192803Medicaid
TX209192802Medicaid
TX8CH694OtherBCBS
TX8D9633Medicare ID - Type UnspecifiedMEDICARE IND.
TXTXB106436Medicare PIN
TXI41109Medicare UPIN
TXTXB105596Medicare PIN