Individual
JASON LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5323 HARRY HINES BLVD STOP 7200, DALLAS, TX 75390-7200
(214) 648-1700
Mailing address
5223 HARRY HINES BLVD, DALLAS, TX 75390-0001
(214) 645-8000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA18704
TX
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
09/04/2024
Last updated
04/05/2025
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