Individual
MIJU LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 W CENTRAL TEXAS EXPY, STE 125, HARKER HEIGHTS, TX 76548-1899
(254) 618-1150
(254) 618-1058
Mailing address
100 W CENTRAL TEXAS EXPY STE 210, KILLEEN, TX 76548-7469
(254) 618-4933
(254) 618-1191
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP130711
TX
363LF0000X
Family Nurse Practitioner
863440
TX
363LF0000X
Family Nurse Practitioner
F0116958
TX
Other
Enumeration date
02/10/2016
Last updated
07/21/2022
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