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Individual

JESSICA JEAN LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
18220 TOMBALL PKWY, SUITE 400, HOUSTON, TX 77070-4347
(281) 737-1320
(281) 737-1321
Mailing address
18220 TOMBALL PKWY, SUITE 400, HOUSTON, TX 77070-4347
(281) 737-1320
(281) 737-1321

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M7365
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1336334507
BLUE CROSS BLUE SHIELD
TX
05
189757102
TX
05
189757104
TX
01
8R1194
BLUE CROSS BLUE SHIELD OF TEXAS
TX
01
P01142605
RR MEDICARE
TX
Enumeration date
09/11/2007
Last updated
06/17/2013
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