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Individual

JIMMY W.C. LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
21216 NORTHWEST FREEWAY, STE 310, CYPRESS, TX 77429-4698
(281) 890-6155
(281) 894-2765
Mailing address
10740 N GESSNER DR, STE 310, HOUSTON, TX 77064-1240
(281) 897-0416

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
F1739
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
117276902
TX
01
225362
BEECHSTREET
TX
Enumeration date
10/18/2005
Last updated
11/11/2013
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