Individual
TAEK YEON LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6410 FANNIN ST, 450, HOUSTON, TX 77030-3000
(713) 500-5304
Mailing address
PO BOX 201088, HOUSTON, TX 77216-1088
(713) 500-3500
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
FTL 42177
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193384801
—
TX
01
—
8A4328
BCBS
TX
Enumeration date
04/28/2008
Last updated
10/06/2008
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