Individual
JASON SCOTT LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1900 MATLOCK RD, MANSFIELD, TX 76063-4391
(682) 628-0277
Mailing address
207 CRENSHAW DR, MANSFIELD, TX 76063-3451
(254) 371-2542
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA14476
TX
Other
Enumeration date
03/10/2021
Last updated
01/03/2023
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