Provider Demographics
NPI:1669407557
Name:LEE, YONG DUCK (MD)
Entity type:Individual
Prefix:
First Name:YONG
Middle Name:DUCK
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 1:7333 NORTH FWY
Mailing Address - Street 2:SUITE 220
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77076-1300
Mailing Address - Country:US
Mailing Address - Phone:713-694-5595
Mailing Address - Fax:713-691-0715
Practice Address - Street 1:7333 NORTH FWY
Practice Address - Street 2:SUITE 220
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77076-1300
Practice Address - Country:US
Practice Address - Phone:713-694-5595
Practice Address - Fax:713-691-0715
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF3533174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX10010074OtherPROVIDER ID
TX10010074OtherPROVIDER ID