Individual
DR. ANDY MATTHEW LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
388 E HWY 67, DUNCANVILLE, TX 75137-4159
(972) 296-2020
(972) 296-0992
Mailing address
388 E HWY 67, DUNCANVILLE, TX 75137-4159
(972) 296-2020
(972) 296-0992
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
10613R
LA
207W00000X
Ophthalmology Physician
Primary
J6009
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00661G
BLUE CROSS BLUE SHIELD
TX
05
—
111874704
—
TX
Enumeration date
08/31/2006
Last updated
12/03/2008
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