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Individual
JIMMY W.C. LEE
Active
Individual
JIMMY W.C. LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
F1739
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117276902
—
TX
01
—
225362
BEECHSTREET
TX
Enumeration date
10/18/2005
Last updated
11/11/2013
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