Individual
MR. LEE H MOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
6404 PAYTON DR, FORT WORTH, TX 76131-1209
Mailing address
PO BOX 938, ROWLETT, TX 75030-0938
(214) 227-2457
(214) 764-0880
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
00F715
TX
Other
Enumeration date
10/25/2006
Last updated
05/07/2020
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