Organization
METROPLEX MEDICAL REHABILITATION & SPORTS MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH J LEE DO (PRESIDENT)
(817) 284-9850
Entity
Organization
Contact information
Practice address
6116 OAKBEND TRL, SUITE 112, FORT WORTH, TX 76132-3925
(817) 423-9054
(817) 423-9719
Mailing address
PO BOX 678596, DALLAS, TX 75267-8595
(817) 423-9054
(817) 423-9719
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
K5755
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0030PX
BCBS
—
01
—
0033DV
BCBS
TX
05
—
178029801
—
TX
Enumeration date
05/15/2006
Last updated
09/28/2012
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