Individual
ALLISON LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4701 BOAT CLUB RD STE 200, FORT WORTH, TX 76135-5285
(817) 237-0515
Mailing address
6251 OAKMONT BLVD, FORT WORTH, TX 76132-3119
(682) 270-5700
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
AP144004
TX
363LA2200X
Adult Health Nurse Practitioner
AP144004
TX
363LF0000X
Family Nurse Practitioner
Primary
AP144004
TX
Other
Enumeration date
07/06/2021
Last updated
12/03/2025
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