Individual
DR. STEPHEN ROBERT LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10034493
TX
2085R0202X
Diagnostic Radiology Physician
258600
MA
2085R0202X
Diagnostic Radiology Physician
Primary
Q0960
TX
2085R0204X
Vascular & Interventional Radiology Physician
258600
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
357278602
—
TX
05
—
357278603
—
TX
01
—
85B009
BCBS
TX
Enumeration date
10/19/2009
Last updated
11/30/2018
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