Individual
MISS JANI JAE EUN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
250 BLOSSOM ST FL 4, WEBSTER, TX 77598-4204
(326) 326-3708
Mailing address
PO BOX 650859, DEPT 710, DALLAS, TX 75265
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
U3574
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2016
Last updated
09/11/2023
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