Provider Demographics
NPI:1952880130
Name:LEE, JOSEPH HOOIL (LAC)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:HOOIL
Last Name:LEE
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2405 CAROLINE CT
Mailing Address - Street 2:
Mailing Address - City:HARKER HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:76548-7480
Mailing Address - Country:US
Mailing Address - Phone:254-289-9221
Mailing Address - Fax:
Practice Address - Street 1:1206 W JASPER DR STE B
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76549-1254
Practice Address - Country:US
Practice Address - Phone:254-213-0773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-09
Last Update Date:2020-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC01868171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist