Provider Demographics
NPI:1023117884
Name:CYFAIR ORTHOPAEDICS & HAND CENTER PA
Entity type:Organization
Organization Name:CYFAIR ORTHOPAEDICS & HAND CENTER PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/SURGEON
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:K
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-890-5353
Mailing Address - Street 1:PO BOX 73527
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77273-3527
Mailing Address - Country:US
Mailing Address - Phone:281-890-5353
Mailing Address - Fax:281-890-2179
Practice Address - Street 1:11301 FALLBROOK DR
Practice Address - Street 2:SUITE 328
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-4237
Practice Address - Country:US
Practice Address - Phone:281-890-5353
Practice Address - Fax:281-890-2179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK3782207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0090EEOtherBCBS GROUP NUMBER
TX=========OtherTRICARE
TX0090EEOtherBCBS GROUP NUMBER