Provider Demographics
NPI:1841606761
Name:JAMES A. LEE M.D.
Entity Type:Organization
Organization Name:JAMES A. LEE M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-403-0696
Mailing Address - Street 1:221 SUNWAY DR
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78232-2220
Mailing Address - Country:US
Mailing Address - Phone:210-403-0696
Mailing Address - Fax:
Practice Address - Street 1:221 SUNWAY DR
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD PARK
Practice Address - State:TX
Practice Address - Zip Code:78232-2220
Practice Address - Country:US
Practice Address - Phone:210-403-0696
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-11
Last Update Date:2014-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE3346261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC18261OtherUPIN
TXC18261OtherUPIN