Individual
DR. MARK S LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5400 KELL WEST BLVD, TEXOMA CANCER CENTER, WICHITA FALLS, TX 76310-1610
(940) 691-8271
(940) 692-2042
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
G3547
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127964809
—
TX
05
—
127964810
—
TX
05
—
200057390A
—
OK
Enumeration date
08/18/2006
Last updated
06/20/2008
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