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Organization
LEE HAAK MD PA
Active
Organization
LEE HAAK MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE W HAAK MD (PRESIDENT)
(409) 860-5855
Entity
Organization
Contact information
Practice address
5875 N MAJOR DR, STE 134, BEAUMONT, TX 77713
(409) 860-5855
(409) 860-9701
Mailing address
5875 N MAJOR DR, STE 134, BEAUMONT, TX 77713-9034
(409) 860-5855
(409) 860-9701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L2296
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176571101
—
TX
Enumeration date
02/26/2007
Last updated
06/05/2008
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