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Organization
LEE J FRIEND MD PA
Active
Organization
LEE J FRIEND MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMEISHA BUCHANAN (CREDENTIALING ASSOCIATE)
(713) 554-5302
Entity
Organization
Contact information
Practice address
1200 WALLACE BLVD, SUITE C, AMARILLO, TX 79106-1741
(806) 359-9000
Mailing address
PO BOX 1759 DEPT. 952, HOUSTON, TX 77251-1759
(713) 554-5302
(713) 554-5324
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J4790
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0018NG
BCBS
TX
05
—
177651001
—
TX
01
—
D48564
AETNA
TX
Enumeration date
12/10/2007
Last updated
07/15/2008
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