Provider Demographics
NPI:1841586682
Name:LEE, TANIA MONGE (MD)
Entity Type:Individual
Prefix:DR
First Name:TANIA
Middle Name:MONGE
Last Name:LEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5711 BENT ARBOR LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-5613
Mailing Address - Country:US
Mailing Address - Phone:713-498-5970
Mailing Address - Fax:
Practice Address - Street 1:705 S FRY RD
Practice Address - Street 2:SUITE 235
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-2251
Practice Address - Country:US
Practice Address - Phone:281-829-3500
Practice Address - Fax:281-829-3503
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-20
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN9728207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology