Individual
DR. KARLA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 BEVILLE RD STE 105, DAYTONA BEACH, FL 32114-5644
(386) 238-9217
Mailing address
1600 W COLLEGE ST, #130, GRAPEVINE, TX 76051-3580
(817) 310-3600
(817) 310-3800
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
J3339
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060070668
MEDICARE RAILROAD
TX
01
—
8AW323
BCBS-INDIVIDUAL
TX
Enumeration date
05/01/2006
Last updated
04/19/2022
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