Individual
DAVID BENJAMIN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-S
Contact information
Practice address
5001 183A SUITE R100, CEDAR PARK, TX 78613
(512) 595-7000
Mailing address
10616 MELLOW MEADOW DR, UNIT 12C, AUSTIN, TX 78750
(305) 389-6443
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA16068
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1196623
NCCPA
—
Enumeration date
09/10/2021
Last updated
06/12/2023
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