Provider Demographics
NPI:1841495926
Name:LEE, GLORIA CHING I (MS LAC)
Entity type:Individual
Prefix:MRS
First Name:GLORIA
Middle Name:CHING I
Last Name:LEE
Suffix:
Gender:F
Credentials:MS LAC
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Mailing Address - Street 1:P.O. BOX 4356
Mailing Address - Street 2:DEPARTMENT 667
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77210-4356
Mailing Address - Country:US
Mailing Address - Phone:281-586-3888
Mailing Address - Fax:281-440-2028
Practice Address - Street 1:837 FM 1960 WEST
Practice Address - Street 2:SUITE 105
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-0000
Practice Address - Country:US
Practice Address - Phone:281-586-3888
Practice Address - Fax:281-440-2020
Is Sole Proprietor?:No
Enumeration Date:2007-06-18
Last Update Date:2011-06-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXAC00900171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist