Individual
FRED S LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4001 W 15TH ST STE 425, PLANO, TX 75093-5848
(972) 696-0030
(972) 696-0037
Mailing address
5214 SAWGRASS DR, GARLAND, TX 75044-5039
(214) 263-5350
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
R2654
TX
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
R2654
TX
Other
Enumeration date
04/22/2010
Last updated
04/12/2019
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