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Individual

COLLEEN G LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FPMHNP-BC

Contact information

Practice address
13423 BLANCO RD STE 329, SAN ANTONIO, TX 78216-2187
(210) 580-4626
(210) 468-7246
Mailing address
13423 BLANCO RD STE 329, SAN ANTONIO, TX 78216-2187
(210) 580-4626
(210) 468-7246

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP120897
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
285462204
TX
01
285462205
CSHCN
TX
Enumeration date
09/07/2011
Last updated
05/12/2026
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