Individual
JEFFREY LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7261 MIMOSA LN, DALLAS, TX 75230-5443
(972) 838-0085
Mailing address
7261 MIMOSA LN, DALLAS, TX 75230-5443
(972) 838-0085
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
846221
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
1094680
TX
Other
Enumeration date
07/06/2022
Last updated
06/12/2024
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