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Individual

SHUNG MAN KURT LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2965 HARRISON ST, STE 222, BEAUMONT, TX 77702-1100
(409) 892-1003
Mailing address
PO BOX 12435, BEAUMONT, TX 77726-2435
(409) 892-1003

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G2419
TX
207RN0300X
Nephrology Physician
Primary
G2419
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
114705002
TX
Enumeration date
02/23/2006
Last updated
03/31/2021
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