Provider Demographics
NPI:1932163839
Name:LEE, FRANK (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:
Last Name:LEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4502 RIVERSTONE BLVD STE 202
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-5213
Mailing Address - Country:US
Mailing Address - Phone:346-679-2772
Mailing Address - Fax:760-646-0693
Practice Address - Street 1:4502 RIVERSTONE BLVD STE 202
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-5213
Practice Address - Country:US
Practice Address - Phone:346-679-2772
Practice Address - Fax:760-646-0693
Is Sole Proprietor?:No
Enumeration Date:2006-04-17
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY246943207W00000X
TXT3813207W00000X, 207W00000X
CAA95487207W00000X
PAMD426001207W00000X
NJ25MA08050200207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
I 30537Medicare UPIN