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Individual
THOMAS M. LEE
Active
Individual
THOMAS M. LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
633146
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172611901
—
TX
05
—
172611905
—
TX
05
—
172611906
—
TX
05
—
172611907
—
TX
05
—
172611908
—
TX
05
—
172611909
—
TX
05
—
172611910
—
TX
05
—
172611916
—
TX
01
—
8343UG
BCBS TX
TX
01
—
85022U
BLUE CROSS BLUE SHIELD
TX
01
—
87028U
BCBS
TX
01
—
P00956814
RAILROAD
TX
Enumeration date
07/14/2005
Last updated
10/29/2015
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