Individual
JONG O. LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
815 MARKET ST, MEDICAL STAFF OFFICE, GALVESTON, TX 77550-2725
(409) 770-6731
(409) 770-6919
Mailing address
815 MARKET ST, MEDICAL STAFF OFFICE, GALVESTON, TX 77550-2725
(409) 770-6731
(409) 770-6919
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
L8107
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8718B7
—
TX
Enumeration date
08/28/2006
Last updated
07/08/2007
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