Individual
MR. LEE EDWARD ACKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, MPAS, RT(R)
Contact information
Practice address
4412 KELL BLVD, WICHITA FALLS, TX 76309-4719
(940) 696-0011
(940) 696-2248
Mailing address
901 INDIANA AVE, STE 540, WICHITA FALLS, TX 76301-6734
(940) 696-0011
(940) 696-2248
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA02732
TX
Other
Enumeration date
12/16/2005
Last updated
09/24/2021
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