Individual
WAYNE A LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
540 MADISON OAK DR, #690, SAN ANTONIO, TX 78258-3943
(210) 491-4125
(210) 491-4138
Mailing address
13423 BLANCO ROAD PMB 140, PMB 140, SAN ANTONIO, TX 78216-2187
(210) 491-4125
(210) 491-4138
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
K1523
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148990801
—
TX
Enumeration date
11/30/2005
Last updated
10/30/2012
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