Organization
WHITE ROCK ENT PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DWIGHT AUGUSTUS LEE M.D. (PARTNER)
(214) 324-0418
Entity
Organization
Contact information
Practice address
1130 BEACHVIEW ST, SUITE 240, DALLAS, TX 75218-4624
(214) 324-0418
(214) 324-0693
Mailing address
1130 BEACHVIEW ST, SUITE 240, DALLAS, TX 75218-4624
(214) 324-0418
(214) 324-0693
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
207YP0228X
Pediatric Otolaryngology Physician
—
—
207YS0012X
Sleep Medicine (Otolaryngology) Physician
—
—
2086X0206X
Surgical Oncology Physician
—
—
Other
Enumeration date
12/15/2006
Last updated
12/05/2011
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