Individual
MS. PAMELA R. LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
13737 NOEL ROAD, STE 1400, DALLAS, TX 75240-2004
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 650426, DALLAS, TX 75265-0426
(972) 715-5000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
249357
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0885071003
—
TX
05
—
088507104
—
TX
05
—
088507105
—
TX
01
—
85452U
BCBS
TX
01
—
P00428308
RAILROAD
TX
Enumeration date
12/29/2005
Last updated
09/16/2013
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