Individual
ELLEN CHIAO LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
22 PRESTIGE CIRCLE, SUITE 200 AND 300, ALLEN, TX 75002
(214) 383-3200
Mailing address
539 W COMMERCE ST # 8298, DALLAS, TX 75208-1953
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
Q6224
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305134403
—
TX
Enumeration date
04/24/2011
Last updated
06/06/2024
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