Individual
DR. WHA JOON LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4000 MEDICAL PKWY, GREENVILLE, TX 75401-7854
(903) 454-6481
(903) 454-6486
Mailing address
4000 MEDICAL PKWY, GREENVILLE, TX 75401-7854
(903) 454-6481
(903) 454-6486
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
N3136
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204632801
—
TX
05
—
268207900
—
FL
01
—
78842
BLUE CROSS
—
01
—
ME87364
WORKER'S COMP
—
01
—
P00085272
RR MEDICARE
—
01
—
P00107003
RR MEDICARE
—
Enumeration date
06/09/2005
Last updated
07/15/2010
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