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Organization
SURGICAL ASSOCIATES OF EAST TEXAS, LLP
Active
Organization
SURGICAL ASSOCIATES OF EAST TEXAS, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES H. LEE M.D. (PARTNER)
(903) 595-6680
Entity
Organization
Contact information
Practice address
704 S FLEISHEL AVE, TYLER, TX 75701-2014
(903) 595-6680
(903) 592-1934
Mailing address
PO BOX 150, TYLER, TX 75710-0150
(903) 595-6680
(903) 592-1934
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CD3048
RAILROAD MEDICARE
TX
Enumeration date
09/20/2006
Last updated
09/11/2025
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