Individual
DR. CHARLES H. LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 E 5TH ST STE 400, TYLER, TX 75701-3362
(903) 595-6680
(903) 592-1934
Mailing address
1000 E 5TH ST STE 400, TYLER, TX 75701-3362
(903) 595-6680
(903) 592-1934
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
F9722
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042414502
—
TX
01
—
780002190
RAILROAD MEDICARE
TX
01
—
8G4080
BLUECROSS BLUESHIELD TX
TX
Enumeration date
09/20/2006
Last updated
12/27/2012
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