Individual
LEE CARLISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 257-1400
Mailing address
UTHSCSA, UTHSCSA, DEPT. ANESTHESIOLOGY, 7703 FLOYD CURL DRIVE, RM 321.5E, SAN ANTONIO, TX 78229
(210) 358-4000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
L5268
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
173043401
CIDC
TX
05
—
173043401
—
TX
05
—
173043402
—
TX
Enumeration date
08/24/2006
Last updated
05/06/2009
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